[Perioperative lumbar plexus block and cardiac ischemia in patients with hip fracture: randomized clinical trial].

ABSTRACT:

Background

Perioperative myocardial ischemia is common among patients undergoing hip fracture surgery. Our aim is to evaluate the efficacy of perioperative continuous lumbar plexus block in reducing the risk of cardiac ischemic events of elderly patients undergoing surgery for hip fractures, expressed as a reduction of ischemic events per subject.

Methods

Patients older than 60 years, ASA II-III, with risk factors for or known coronary artery disease were enrolled in this randomized controlled study. Patients were randomized to conventional analgesia using opioid intravenous patient-controlled analgesia or continuous lumbar plexus block analgesia, both started preoperatively and maintained until postoperative day three. Continuous electrocardiogram monitoring with ST segment

SUBMITTER: Altermatt FR 

PROVIDER: S-EPMC9391738 | biostudies-literature | 2018 Sep - Oct

REPOSITORIES: biostudies-literature