一位98岁高龄男性接受假体周围骨折手术的麻醉思路

doi:10.24920/003517

Chinese Medical Sciences Journal ›› 2019, Vol. 34 ›› Issue (4): 289-291.doi: 10.24920/003517

• Case Report • Previous Articles Next Articles

Anesthetic Considerations in a 98-year-old Man with Periprosthetic Femoral Shaft Fracture

Chen Si, Pei Lijian()

Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

Received:2018-09-19 Accepted:2018-12-21 Published:2019-12-31 Online:2019-11-12
Contact: Pei Lijian E-mail:hazelbeijing@vip.163.com

Abstract

A 98-year-old male patient with history of hemiarthroplasty suffered periprosthetic fracture of right femoral shaft and developed acute coronary event in three days after hospitalization. Femoral nerve and lateral femoral cutaneous nerve blocks combined with general anesthesia were implemented for the internal fixation surgery. The recovery was uneventful after discharge. In this case report, we discussed the main considerations of anesthesia specifically for this complicated case.

Key words: anesthesia, advanced age, periprosthetic fracture

Chen Si, Pei Lijian. Anesthetic Considerations in a 98-year-old Man with Periprosthetic Femoral Shaft Fracture[J].Chinese Medical Sciences Journal, 2019, 34(4): 289-291.

References 9.

1.	El-Zayat BF, Ruchholtz S, Efe T , et al. NCB-plating in the treatment of geriatric and periprosthetic femoral fractures. Orthop Traumatol Surg Res 2012; 98(7):765-72. doi: 10.1016/j.otsr.2012.05.014.
2.	Lindahl H . Epidemiology of periprosthetic femur fracture around a total hip arthroplasty. Injury 2007; 38(6):651-4. doi: 10.1016/j.injury.2007.02.048.
3.	Ricci WM . Periprosthetic femur fractures. J Orthop Trauma 2015; 29(3):130-7. doi: 10.1097/BOT.0000000000000282.
4.	Luger TJ, Kammerlander C, Luger MF , et al. Mode of anesthesia, mortality and outcome in geriatric patients. Z Gerontol Geriatr 2014; 47(2):110-24. doi: 10.1007/s00391-014-0611-3.
5.	Li Z, Long H, Huang F , et al. Impact of epidural versus general anesthesia on major lumbar surgery in elderly patients. Clin Spine Surg 2019; 32(1):E7-E12. doi: 10.1097/BSD.0000000000000708.
6.	Carrión S, Costa A, Ortega O , et al. Complications of oropharyngeal dysphagia: malnutrition and aspiration pneumonia. In: Ekberg O (Editor). Dysphagia. Switherland: Springer, Cham; 2019. p. 823-57.
7.	Tada A, Miura H . Prevention of aspiration pneumonia (AP) with oral care. Archiv gerontol Geriatrics 2012; 55(1):16-21. doi: 10.1016/j.archger.2011.06.029.
8.	Aw D, Sahota O . Orthogeriatrics moving forward. Age Ageing 2014; 43(3):301-5. doi: 10.1093/ageing/afu011.
9.	Rashid RH, Shah AA, Shakoor A , et al. Hip fracture surgery: does type of anesthesia matter. BioMed Res Int 2013; 2013:252356. doi: 10.1155/2013/252356.

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