Spinal anesthesia and hypotensive events in hip fracture surgical repair in elderly patients: a meta-analysis.

ABSTRACT:

Background

Spinal anesthesia (SA) is widely used for anesthetic management of patients undergoing hip surgery, and hypotension is the most common cardiovascular side effect of SA. This paper aims to assess the lowest effective dose of SA that reduces the occurrence of intraoperative hypotension in elderly patients scheduled for major lower limb orthopedic surgery.

Methods

We conducted a systematic review of randomized controlled trials (RCTs) performed in elderly patients scheduled for surgical hip repair and a meta-analysis with meta-regression on the occurrence of hypotensive episodes at different effective doses of anesthetics. We searched PUBMED®, EMBASE®, and the Cochrane Controlled Clinical trials registered.

Results

Our search retrieved 2085 titles, and after s

SUBMITTER: Messina A 

PROVIDER: S-EPMC10245414 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature