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老年髋部骨折患者的全身麻醉与脊髓麻醉对比

General versus spinal anesthesia for the elderly hip fractured patient.

作者信息

Kowark Ana, Rossaint Rolf, Coburn Mark

机构信息

Department of Anaesthesiology, Medical Faculty RWTH Aachen, Germany.

出版信息

Curr Opin Anaesthesiol. 2019 Feb;32(1):116-119. doi: 10.1097/ACO.0000000000000679.

DOI:10.1097/ACO.0000000000000679
PMID:30543554
Abstract

PURPOSE OF REVIEW

There is an urge to improve care for patients with hip fracture. The present review will compare the efficacy of spinal versus general anesthesia for patients requiring hip fracture surgery.

RECENT FINDINGS

The present review gives an overview with particular emphasis on literature published during the past 24 months.

SUMMARY

So far, no clear evidence form randomized trials exists to identify the best anesthesia technique for hip fracture surgery. However, several large-scale pragmatic trials are ongoing and will provide future guidance.

摘要

综述目的

改善髋部骨折患者的护理迫在眉睫。本综述将比较脊柱麻醉与全身麻醉对需要进行髋部骨折手术患者的疗效。

最新发现

本综述给出了一个概述,特别强调了过去24个月内发表的文献。

总结

到目前为止,尚无来自随机试验的确切证据来确定髋部骨折手术的最佳麻醉技术。然而,几项大规模的实用试验正在进行中,将为未来提供指导。

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