Spinal Anesthesia for Proximal Femoral Fracture of Aged Patients.
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概要
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We operated 47 patients (10 males and 37 females) with proximal femoral fractures (17 neck fractures and 31 trochanteric fractures) under spinal anesthesia with bupivacaine. Age range was from 70 to 102 years with a mean of 83. We performed hip arthroplasty to neck fracture and osteosynthesis with Ender nails to trochanteric fracture. We compared seventies (group A: 24 patients) with ninties (group B: 23 patients) as to the concetration and volume of bupivacaine, past history before injury and in or post-operative complications.Of these patients, group A was anesthetized with a mean of 2.4ml of 0.38% bupivacaine and group B with a mean of 2.4ml of 0.25% bupivacaine. Many past histories before injury were recognized all patients in both groups. But there was no apparent difference between group A and B in the rate of illness. During operation, temporary hypotension was recognized in nine patients of group A and four patients of group B. There was statistically significant difference between group A and B. We used vasopressor to all these patients. There was no other complications.In conclusion, spinal anesthesia with bupivacaine is an useful and safty method for the operation of proximal femoral fractures.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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