Abstract – Anaesthesiology management: recruiting, critical issues, and possible solutions
Hip fractures represent a big challenge for the healthcare system. Fractured patients are very often aged and present with several comorbidities, therefore requiring an intensive and integrated approach. Cooperation of trauma surgeons, anaesthesiologists, geriatricians and physiotherapists can dramatically improve the outcome of the fractured patients, providing that an integrated, multidisciplinary clinical pathway is set up early. This article reviews the approach to the fractured patient according to the latest international guidelines.
Similar content being viewed by others
Bibliografia
Panesar SS, Simunovic N, Bhandari M (2012) When should we operate on elderly patients with a hip fracture? It’s about time! Surgeon 10:185–188
Griffiths R, Alper J, Beckingsale A et al. (2011) Management of proximal femoral fractures 2011: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 67:85–98
National Institute for Health and Clinical Excellence (2011) The management of hip fracture in adults. NICE clinical guideline 124. guidance.nice.org.uk/cg124. Ultimo accesso 20 marzo 2013
British Orthopaedic Association and British Geriatric Society (2007) The care of patients with fragility fracture. http://nhfd.co.uk. Ultimo accesso marzo 2013
Maxwell MJ, Moran CG, Moppett IK (2008) Development and validation of a preoperative scoring system to predict 30 day mortality in patients undergoing hip fracture surgery. Br J Anaesth 101:511–517
Loxdale SJ, Sneyd JR, Donovan A et al. (2012) The role of routine pre-operative bedside echocardiography in detecting aortic stenosis in patients with a hip fracture. Anaesthesia 67:51–54
Ferré F, Minville V (2011) Preoperative management to reduce morbidity and mortality of hip fracture. Ann Fr Anesth Reanim 30:e45–48
Della Rocca G, Biggi F, Grossi P et al. (2011) Italian intersociety consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery. Minerva Anestesiol 77:1003–1010
Parker MJ, Handoll HH, Griffiths R (2004) Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev 4:CD000521
Conflitto di interesse
Nessuno.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bressan, F. La gestione anestesiologica: reclutamento, criticità e soluzioni possibili. LO SCALPELLO 27, 36–40 (2013). https://doi.org/10.1007/s11639-013-0020-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11639-013-0020-1