2019, Number 3
Recommendations for analgesia in hip fracture
Flores-Villanueva ME, Chávez-Covarrubias G
Language: Spanish
References: 0
Page: 203
PDF size: 98.69 Kb.
ABSTRACT
Hip fracture is the most common injury suffered by the group of geriatric patients, being the most frequent cause of hospitalization in the orthopedic emergency services, increasing its incidence with age. The management of postoperative pain is complex due to changes related to aging, comorbidities and drug interactions among others. Due to this, analgesic therapy should be based on preventive and multimodal analgesia concepts, with emphasis on the application of peripheral nerve blocks guided with ultrasound, where there is evidence of moderate quality towards a reduction in the risk of pneumonia, less time for the first mobilization and a reduction in the costs of the analgesic regimen. The blocking of the pericapsular nervous group (PENG block) is a blockage of recent publication, which is specific for hip fracture, with a satisfactory therapeutic application in terms of analgesia (visit http://www.painoutmexico.com to see the full article and recommendations diagram).