Naslov
Reducing delirium in elderly patients with femur fracture by adding dexamethasone to the local anesthetic in spinal anesthesia

Autori
Šakić, Livija ; Tonković, Dinko

Izvornik
Periodicum biologorum (0031-5362) 115 (2013), 2; 279-281

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
Neuroendokrini odgovor ; Traumatološki bolesnici povišene dobi ; Poslijeoperacijska kognitivna disfunkcijaokrini odgovor ; Traumatološki bolesnici povišene dobi ; Poslijeoperacijska kognitivna disfunkcija
(neuroendocrine response ; elderly trauma patients ; postoperative cognitive dysfunction)

Sažetak
Mortality after hip fracture has remained relatively unchanged for the last two decades. Currently, 8.4% of patients die within 30 days of surgery. However, it has been suggested that up to half of postoperative deaths are potentially preventable. Thirty-day mortality is increased for older, sicker, male patients. Up to 15–30% of patients die within a year of surgery. There is sufficient data that the effective pain mana- gement may reduce postoperative cognitive disturbances. The addition of dexamethasone to the local anesthetic administered intrathecally significantly prolongs the dura- tion of sensory block and decreases opioid requirements in postoperative management. Therefore, effective analgesia and the impact on the hypothalamic- pituitary-adrenal axis may reduce post- operative delirium in patients with femur fracture.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA