Key result
Local anesthesia is a simple, reproducible, and inexpensive technique that offers a favorable benefit-risk ratio for frail elderly patients undergoing superficial or deep surgeries.
Why the study?
The frail elderly face high postoperative complication risks, requiring minimally invasive anesthesia techniques such as regional or local anesthesia to optimize the benefit-risk ratio.
Local anesthesia is highlighted as a simple, reproducible, and inexpensive technique that should be considered a gold standard for frail elderly patients undergoing surgery.
May support local anesthesia in frail elderly; leaves open confirmation in prospective trials.
The frail, elderly population is at a high risk of postoperative complications. Besides perioperative rehabilitation techniques and management by geriatric teams, the least invasive techniques in anesthesia are required, making regional anesthesia very interesting in terms of benefit-risk ratio. Among them, local anesthesia is a simple, reproducible, inexpensive technique applied to many superficial or deep surgeries, which should make it a gold standard for the frail person. This review provides an update on the current possibilities for various surgeries and exclusion.
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Cuvillon et al. (2022) conducted a review in Frail elderly requiring surgery. Local anesthesia was evaluated. Local anesthesia is a simple, reproducible, and inexpensive technique that offers a favorable benefit-risk ratio for frail elderly patients undergoing superficial or deep surgeries.
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