Title : Bipolar hemiarthroplasty under local anesthesia (2%)
Abstract:
Introduction: Hip fractures in elderly patients represent a major public health concern , patients with neek of femour fractures are typically elderly and often have a history of hypertention , diabetes , and other comrbidites. These patients usually receive either spinal or general anethesia during surgical intervention.
Studies have shown that mortality rates are higher in the group receiving general anesthesia. Deep Vein Thrombosis ( DVT) is one of the most significant complications affecting patients postoperitavely. Its major short term complication is pulmonary embolism. While its long term complication is post – thrombotic syndrome. The incidence of DVT incidence of dvt in patients receiving spinal anesthesia is approximately 11. 23 % compared to 6.66 % in those receiving general anesthesia and 5.76 % in those receiving epidural anesthesia.
General anesthesia is less favourable in patients with comorbidities, as it can cause fluctuations in blood pressure and heart rate. Local anesthesia offers several benefits, including minimal pain with lignocaine injections and reduced need for sedation in many procedures across the body.
Objectives:
- Elimination of complications associated with sedation such as nausea, vomiting,urinary retention, malignant hyperthermia, aspiration pneumonia.
- Faster post surgical recovery time-patients are able to get up and leave shortly after surgery similar to visit to dentist.
- Elimination of most pre anesthetist consultations and testing reducing the need of additional appointments.
- Lower surgical costs
- Improved patient outcomes in surgery
- Many procedures can be performed in minor ot rooms decreasing risk of infection
- No need of nil by mouth before surgery
- One anesthetist was kept present to counter any possible intra or post operative complications
- Emergency medications as benzodiazepines and injecting lipids were kept present in ot to counter any possible lignocaine toxicity.
