Copyright
©The Author(s) 2021.
World J Clin Cases. Dec 26, 2021; 9(36): 11504-11508
Published online Dec 26, 2021. doi: 10.12998/wjcc.v9.i36.11504
Published online Dec 26, 2021. doi: 10.12998/wjcc.v9.i36.11504
Preoperative | Preoperative multimodal analgesia should include regional anesthesia (e.g., femoral nerve block, fascia iliac block) and minimization of opioids use. |
Maintain preoperative hydration. The routine administration of sedatives to reduce anxiety is not recommended. | |
Avoid prolonged preoperative fasting and recognize gastric motility may be altered in patients with hip fractures. | |
Intraoperative | Minimize PONV by using anesthetic techniques that reduce it (i.e., NA or TIVA), and drug prophylaxis. |
Avoid anticholinergic and antihistamine as antiemetics in older patients, due to increased risk of confusion or agitation. | |
Individualize fluid management. | |
Use of tranexamic acid for reduced blood loss. | |
Optimize glycemic control. | |
Maintain normothermia. | |
Postoperative | Use multimodal opioid sparing analgesic strategy including local infiltration analgesia, nonopioid analgesics (e.g., acetaminophen and/or NSAIDs), and possibly tramadol. |
Avoid any sedatives and respiratory depressants. | |
Fast mobilization/rehabilitation. |
- Citation: Crisci M, Cuomo A, Forte CA, Bimonte S, Esposito G, Tracey MC, Cascella M. Advantages and issues of concern regarding approaches to peripheral nerve block for total hip arthroplasty. World J Clin Cases 2021; 9(36): 11504-11508
- URL: https://www.wjgnet.com/2307-8960/full/v9/i36/11504.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v9.i36.11504