• Clin. Geriatr. Med. · May 2014

    Review

    Special anesthetic consideration for the patient with a fragility fracture.

    • Jean-Pierre P Ouanes, Vicente Garcia Tomas, and Frederick Sieber.
    • Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Sheik Zayed Tower 8-120, 1800 Orleans Street, Baltimore, MD 21287, USA. Electronic address: ouanes@jhu.edu.
    • Clin. Geriatr. Med. 2014 May 1;30(2):243-59.

    AbstractIn this article, an overview is presented of perioperative management of the patient with a fragility fracture, including preoperative risk stratification and optimization, anesthesia risks, anesthesia options, and postoperative pain management. Issues of preoperative evaluation that are of concern for the anesthesiologist because of their direct effect on intraoperative care are discussed. A team interdisciplinary approach and good communication between specialties involved in care of elderly surgical patients is important for optimal patient outcomes and to avoid perioperative complications. Cooperation between anesthesiology and medicine is indispensable in reaching a reasonable consensus regarding preoperative evaluation and should occur on a case-by-case basis.Copyright © 2014 Elsevier Inc. All rights reserved.

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