Why the study?
Does continuous spinal anesthesia with titrated doses of hyperbaric bupivacaine improve hemodynamic stability compared to single-dose spinal anesthesia in elderly patients undergoing hip fracture surgery?
Population
60 elderly patients (> 70 yr old) undergoing surgery for hip fracture
Comparison
Continuous spinal anesthesia using a starting… vs Single-dose spinal anesthesia receiving 10-15 mg…
Design
RCT, randomized into two groups
Follow-up
4 h after induction of anesthesia
Authors
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Supports titrated CSA to limit hypotension in elderly hip fracture surgery; extends RCT evidence favoring it over single-dose spinal anesthesia.
Does continuous spinal anesthesia with titrated doses of hyperbaric bupivacaine improve hemodynamic stability compared to single-dose spinal anesthesia in elderly patients undergoing hip fracture surgery?
Continuous spinal anesthesia with titrated doses of hyperbaric bupivacaine provides better hemodynamic stability and reduces the need for ephedrine compared to single-dose spinal anesthesia in elderly patients undergoing hip fracture surgery.
Favarel-Garrigues et al. (1996) studied this question.
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