Key result
This review describes the technique of using monitored anesthesia care combined with soft tissue infiltration of local anesthesia for short cephalomedullary nailing in high-risk hip fracture patients.
Monitored anesthesia care combined with soft tissue infiltration with local anesthesia is presented as an anesthetic option for high-risk patients undergoing hip fracture surgery.
May offer an anesthetic option for high-risk hip fracture patients; leaves open the need for prospective comparative trials.
SUMMARY: This review demonstrates the technique for monitored anesthesia care and soft tissue infiltration with local anesthesia as the only form of anesthesia for short cephalomedullary nailing in medically complex patients. Monitored anesthesia care is defined as providing sedation and analgesia that is titrated to a level that preserves spontaneous breathing and airway reflexes. Soft tissue infiltration refers to soft tissue infiltration with local anesthesia directly into the surgical site and is performed by the surgeon before the start of the procedure.
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Konda et al. (2023) conducted a review in Hip fractures in medically complex patients. Monitored anesthesia care and soft tissue infiltration with local anesthesia was evaluated. This review describes the technique of using monitored anesthesia care combined with soft tissue infiltration of local anesthesia for short cephalomedullary nailing in high-risk hip fracture patients.
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