改善骨脆弱性骨折的发病率和死亡率
Tara Kelly1, Brenden Moore, Renuka George
1Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Current opinion in anaesthesiology
|February 23, 2024
概括
部脆弱性骨折 (HFF) 增加了发病率和死亡率. 包括麻醉和外围神经阻塞在内的多学科方法改善了患者的治疗结果和HFF后的康复.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
背景情况:
- 部脆弱性骨折 (HFF) 是一个日益严重的疾病和死亡率问题.
- 为减少医疗负担,对HFF患者的有效及时护理至关重要.
研究的目的:
- 审查HFF对患者结果的影响.
- 讨论改善HFF护理和患者康复的策略.
主要方法:
- 审查有关HFF管理的当前文献和临床实践.
- 强调多学科的护理模式和麻醉技术.
主要成果:
- 骨折前的脆弱性与术后狂妄症,发病率和死亡率的增加有关.
- 多学科的护理,专科的入院,以及外围神经阻断 (例如,PENG阻断) 改善了结果.
- 外围神经阻塞在降低发病率和死亡率方面表现有前途.
结论:
- HFF与长期疼痛,功能衰退和高死亡率有关.
- 结合麻醉和外围神经阻塞的多学科方法可以减轻术后并发症并促进恢复.
相关概念视频
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K
01:26Flail Chest-II
169
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
169