Why the study?
Does subarachnoid anesthesia with isobaric levobupivacaine improve hemodynamic stability compared to hyperbaric bupivacaine in patients aged 65 and older undergoing hip fracture surgery?
Population
120 ASA status I-IV patients aged 65 and older undergoing hip fracture surgery
Comparison
Subarachnoid anesthesia with isobaric… vs Subarachnoid anesthesia with hyperbaric…
Design
Cohort
Follow-up
6 months
Authors
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May reduce intraoperative hypotension in elderly hip fracture patients; leaves open need for RCTs before changing practice.
Does subarachnoid anesthesia with isobaric levobupivacaine improve hemodynamic stability compared to hyperbaric bupivacaine in patients aged 65 and older undergoing hip fracture surgery?
Isobaric levobupivacaine is associated with greater hemodynamic stability and less intraoperative hypotension than hyperbaric bupivacaine during subarachnoid anesthesia in elderly patients undergoing hip surgery.
Herrera et al. (2014) studied this question.
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