Why the study?
Choosing the most effective and safest perioperative pathway represents a challenge in older patients with comorbidities and hip fractures, with anesthetic approach and locoregional anesthesia being key concerns.
Discusses the advantages and concerns of peripheral nerve block approaches for total hip arthroplasty in older patients with hip fractures.
FICB plus MAC offers a feasible alternative when GA or neuraxial anesthesia is contraindicated in frail hip-fracture patients; leaves open need for controlled trials before broader adoption.
In older patients with comorbidities, hip fractures are both an important and debilitating condition. Since multimodal and multidisciplinary perioperative strategies can hasten functional recovery after surgery improving clinical outcomes, the choice of the most effective and safest pathway represents a great challenge. A key point of concern is the anesthetic approach and above all the choice of the locoregional anesthesia combined with general or neuraxial anesthesia.
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CRISCI et al. (2021) studied this question.
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