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Modernising Hip Fracture Anaesthesia



Hannah Dawe*
St. Georges Hospital, Tooting, SW170QT, London, UK


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© 2017 Dawe Hannah.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the St Georges Hospital, Tooting, SW170QT, London, UK; Tel: 07795055162; E-mail: hannah.dodwell@doctors.net.uk


Abstract

Hip fracture carries a 30-day mortality of around 8% in the United Kingdom. This figure has remained relatively unchanged despite modern developments in anaesthetic technique. These range from improvements in perioperative analgesia and mortality scoring systems, changes to intra-operative anaesthetic technique and strategies to reduce the requirement for blood transfusion. In this article, we review the current literature on the perioperative management of patients undergoing hip fracture surgery including some of the current controversies.

Keywords: Hip fracture, NHFS, Spinal, ASAP, Transfusion.