Why the study?
Does the implementation of new anesthetic management practices (LMWH, beta-blockers, CSE, epidural analgesia) reduce in-hospital mortality and complications in elderly patients undergoing elective lower limb surgery?
Cohort (n=145)
No
Does the implementation of new anesthetic management practices (LMWH, beta-blockers, CSE, epidural analgesia) reduce in-hospital mortality and complications in elderly patients undergoing elective lower limb surgery?
The implementation of updated anesthetic protocols, including DVT prophylaxis and beta-blockers, reduced intra- and post-operative complications in elderly patients undergoing lower limb surgery, although in-hospital mortality was not significantly changed.
Answers are grounded in this paper and cite their sources.
New protocols linked to fewer complications but not lower mortality; leaves open whether RCTs would confirm benefit in elderly orthopedic patients.
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Moningi et al. (2014) conducted a cohort in Geriatric patients undergoing elective orthopaedic lower limb surgeries (n=145). New peri-operative management protocols (beta blockers, DVT prophylaxis, epidural analgesia) vs. Management protocols from 1999 was evaluated on In-hospital mortality (p=0.38).
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