R.R. SAPHIN

Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

Saphin R.R. ― D. Med. Sc., doctor of resuscitation and intensive care unit №4, tel. (843) 237-35-23, e-mail: safin_r.r@hotmail.com

Mortality after hip fractures in the elderly patient population still remains 8,4%. A pilot study shows a significant decrease in this index, if unilateral spinal anesthesia (SA) with warm 0,5% bupivacaine is used as compared with bilateral SA with unwarm 0,5% bupivacaine.

Key words: spinal anesthesia, mortality, hip fracture.

REFERENCES

1. Griffiths R., Alper J., Beckingsale A.et al. Management of proximal femoral fractures 2011: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia, 2012, vol. 67, pp. 85-98.
2. Foss N., Kehlet H. Mortality analysis in hip fracture patients: implications for design of future outcome trials. British Journal of Anaesthesia, 2005, vol. 94, pp. 24-29.
3. Wood R.J., Whit S.M. Anaesthesia for 1131 patients undergoing proximal femoral fracture repair: a retrospective, observational study of effects on blood pressure, fluid administration and perioperative anaemia. Anaesthesia, 2011, vol. 66, pp. 1017-1022.
4. Borisov D.B. Perioperatsionnoe obezbolivanie i krovesberegayushchie tekhnologii pri endoprotezirovanii krupnykh sustavov: avtoref. dis. … d-ra med. nauk [Perioperative analgesia and krovesberegayuschie technology in prosthetics. Synopsis of dis. Dr med. sciences]. Saint Petersburg, 2013. 35 p.
5. Strashnov V.I., Zabrodin O.N., Bandar A.I. The adequacy of the combined combined spinal-epidural anesthesia in operations verhneabdominalnyh. Anesteziologiya i reanimatologiya, 2006, no. 4, p. 30 (in Russ.).