Advertisement

Outcomes After Orthopedic Trauma Surgery – What is the Role of the Anesthesia Choice?

  • Philipp Gerner
    Affiliations
    Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02143, USA
    Search for articles by this author
  • Crispiana Cozowicz
    Affiliations
    Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, New York, NY 10021, USA

    Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Muellner Hauptstrasse 48, Salzburg 5020, Austria
    Search for articles by this author
  • Stavros G. Memtsoudis
    Correspondence
    Corresponding author. Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, New York, NY 10021, USA
    Affiliations
    Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, New York, NY 10021, USA

    Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Muellner Hauptstrasse 48, Salzburg 5020, Austria
    Search for articles by this author

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Anesthesiology Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cozowicz C.
        • Poeran J.
        • Memtsoudis S.G.
        Epidemiology, trends, and disparities in regional anaesthesia for orthopaedic surgery.
        Br J Anaesth. 2015; 115: ii57-ii67
        • Rodgers A.
        • Walker N.
        • Schug S.
        • et al.
        Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials.
        BMJ. 2000; 321: 1493
        • Kehlet H.
        The modifying effect of anesthetic technique on the metabolic and endocrine responses to anesthesia and surgery.
        Acta Anaesthesiol Belg. 1988; 39: 143-146
        • Kehlet H.
        Modification of responses to surgery by neural blockade. Neural blockade.
        Lippincott-Raven, Philadelphia1998: 129-175
        • Brull R.
        • McCartney C.J.
        • Chan V.W.
        • et al.
        Neurological complications after regional anesthesia: contemporary estimates of risk.
        Anesth Analg. 2007; 104: 965-974
        • Cook T.M.
        • Counsell D.
        • Wildsmith J.A.
        • et al.
        Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists.
        Br J Anaesth. 2009; 102: 179-190
        • Holte K.
        • Kehlet H.
        Epidural anaesthesia and analgesia - effects on surgical stress responses and implications for postoperative nutrition.
        Clin Nutr. 2002; 21: 199-206
        • Barreveld A.
        • Witte J.
        • Chahal H.
        • et al.
        Preventive analgesia by local anesthetics: the reduction of postoperative pain by peripheral nerve blocks and intravenous drugs.
        Anesth Analg. 2013; 116: 1141-1161
        • Memtsoudis S.G.
        • Cozowicz C.
        • Bekeris J.
        • et al.
        Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analysis of current literature.
        Reg Anesth Pain Med. 2021; https://doi.org/10.1136/rapm-2021-102750
        • Fleming I.
        • Egeler C.
        Regional Anesthesia For Trauma: An Update.
        Continuing Education Anaesth Crit Care Pain. 2014; 14: 136-141
        • O'Neill J.
        • Helwig E.
        Postoperative Management of the Physiological Effects of Spinal Anesthesia.
        J Perianesth Nurs. 2016; 31: 330-339
        • Zhu L.
        • Tian C.
        • Li M.
        • et al.
        The stress response and anesthetic potency of unilateral spinal anesthesia for total Hip Replacement in geriatric patients.
        Pakistan J Pharm Sci. 2014; 27: 2029-2034
        • Brovman E.Y.
        • Wallace F.C.
        • Weaver M.J.
        • et al.
        Anesthesia Type Is Not Associated With Postoperative Complications in the Care of Patients With Lower Extremity Traumatic Fractures.
        Anesth Analg. 2019; 129: 1034-1042
        • Melton L.J.
        Hip fractures: a worldwide problem today and tomorrow.
        Bone. 1993; 14: S1-S8
        • Neuman M.D.
        • Silber J.H.
        • Elkassabany N.M.
        • et al.
        Comparative effectiveness of regional versus general anesthesia for hip fracture surgery in adults.
        Anesthesiology. 2012; 117: 72-92
        • Neuman M.D.
        • Rosenbaum P.R.
        • Ludwig J.M.
        • et al.
        Anesthesia technique, mortality, and length of stay after hip fracture surgery.
        JAMA. 2014; 311: 2508-2517
        • Fields A.C.
        • Dieterich J.D.
        • Buterbaugh K.
        • et al.
        Short-term complications in hip fracture surgery using spinal versus general anaesthesia.
        Injury. 2015; 46: 719-723
        • Basques B.A.
        • Bohl D.D.
        • Golinvaux N.S.
        • et al.
        General versus spinal anaesthesia for patients aged 70 years and older with a fracture of the hip.
        bone Jt J. 2015; 97-b: 689-695
        • Seitz D.P.
        • Gill S.S.
        • Bell C.M.
        • et al.
        Postoperative medical complications associated with anesthesia in older adults with dementia.
        J Am Geriatr Soc. 2014; 62: 2102-2109
        • Guay J.
        • Parker M.J.
        • Gajendragadkar P.R.
        • et al.
        Anaesthesia for hip fracture surgery in adults.
        Cochrane Database Syst Rev. 2016; 2: Cd000521https://doi.org/10.1002/14651858.CD000521.pub3
        • Malhas L.
        • Perlas A.
        • Tierney S.
        • et al.
        The effect of anesthetic technique on mortality and major morbidity after hip fracture surgery: a retrospective, propensity-score matched-pairs cohort study.
        Reg Anesth Pain Med. 2019; 44: 847-853
        • Guay J.
        • Kopp S.
        Peripheral nerve blocks for hip fractures in adults.
        Cochrane Database Syst Rev. 2020; 11Cd001159
        • Soffin E.M.
        • Gibbons M.M.
        • Wick E.C.
        • et al.
        Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: Focus on Anesthesiology for Hip Fracture Surgery.
        Anesth Analg. 2019; 128: 1107-1117
        • Neuman M.D.
        • Ellenberg S.S.
        • Sieber F.E.
        • et al.
        Regional versus General Anesthesia for Promoting Independence after Hip Fracture (REGAIN): protocol for a pragmatic, international multicentre trial.
        BMJ Open. 2016; 6: e013473https://doi.org/10.1136/bmjopen-2016-013473
        • Memtsoudis S.G.
        • Cozowicz C.
        • Bekeris J.
        • et al.
        Anaesthetic care of patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis.
        Br J Anaesth. 2019; 123: 269-287
        • Neuman M.D.
        • Feng R.
        • Carson J.L.
        • et al.
        Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults.
        N Engl J Med. 2021; 385: 2025-2035
        • Williams A.
        • Bigham C.
        • Marchbank A.
        Anaesthetic and surgical management of rib fractures.
        BJA Educ. 2020; 20: 332-340
        • Kasotakis G.
        • Hasenboehler E.A.
        • Streib E.W.
        • et al.
        Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma.
        J Trauma Acute Care Surg. 2017; 82: 618-626
        • Malekpour M.
        • Hashmi A.
        • Dove J.
        • et al.
        Analgesic Choice in Management of Rib Fractures: Paravertebral Block or Epidural Analgesia?.
        Anesth Analg. 2017; 124: 1906-1911
        • Peek J.
        • DPJ Smeeing
        • Hietbrink F.
        • et al.
        Comparison of analgesic interventions for traumatic rib fractures: a systematic review and meta-analysis.
        Eur J Trauma Emerg Surg. 2019; 45: 597-622
        • Adhikary S.D.
        • Liu W.M.
        • Fuller E.
        • et al.
        The effect of erector spinae plane block on respiratory and analgesic outcomes in multiple rib fractures: a retrospective cohort study.
        Anaesthesia. 2019; 74: 585-593
        • Hussain N.
        • Brull R.
        • Sheehy B.
        • et al.
        Perineural Liposomal Bupivacaine Is Not Superior to Nonliposomal Bupivacaine for Peripheral Nerve Block Analgesia.
        Anesthesiology. 2021; 134: 147-164
        • Sheets N.W.
        • Davis J.W.
        • Dirks R.C.
        • et al.
        Intercostal Nerve Block with Liposomal Bupivacaine vs Epidural Analgesia for the Treatment of Traumatic Rib Fracture.
        J Am Coll Surg. 2020; 231: 150-154
        • El-Boghdadly K.
        • Wiles M.D.
        Regional anaesthesia for rib fractures: too many choices, too little evidence.
        Anaesthesia. 2019; 74: 564-568
        • Ryan D.J.
        • Iofin N.
        • Furgiuele D.
        • et al.
        Regional anesthesia for clavicle fracture surgery is safe and effective.
        J Shoulder Elbow Surg. 2021; 30: e356-e360
        • O'Donnell B.D.
        • Ryan H.
        • O'Sullivan O.
        • et al.
        Ultrasound-guided axillary brachial plexus block with 20 milliliters local anesthetic mixture versus general anesthesia for upper limb trauma surgery: an observer-blinded, prospective, randomized, controlled trial.
        Anesth Analg. 2009; 109: 279-283
        • Aguirre J.
        • Del Moral A.
        • Cobo I.
        • et al.
        The role of continuous peripheral nerve blocks.
        Anesthesiol Res Pract. 2012; 2012: 560879
        • Egol K.A.
        • Soojian M.G.
        • Walsh M.
        • et al.
        Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia.
        J Orthop Trauma. 2012; 26: 545-549
        • Elkassabany N.
        • Cai L.F.
        • Mehta S.
        • et al.
        Does Regional Anesthesia Improve the Quality of Postoperative Pain Management and the Quality of Recovery in Patients Undergoing Operative Repair of Tibia and Ankle Fractures?.
        J Orthop Trauma. 2015; 29: 404-409
        • Bugada D.
        • Ghisi D.
        • Mariano E.R.
        Continuous regional anesthesia: a review of perioperative outcome benefits.
        Minerva Anestesiol. 2017; 83: 1089-1100
        • Guay J.
        • Kopp S.
        Peripheral nerve blocks for hip fractures in adults.
        Cochrane Database Syst Rev. 2020; 11: CD001159
        • Tung Y.C.
        • Hsu Y.H.
        • Chang G.M.
        The Effect of Anesthetic Type on Outcomes of Hip Fracture Surgery: A Nationwide Population-Based Study.
        Medicine (Baltimore). 2016; 95: e3296
        • Memtsoudis S.G.
        • Liu S.S.
        Do neuraxial techniques affect perioperative outcomes? The story of vantage points and number games.
        Anesth Analg. 2014; 119: 501-502
        • Barrington M.J.
        • Watts S.A.
        • Gledhill S.R.
        • et al.
        Preliminary results of the Australasian Regional Anaesthesia Collaboration: a prospective audit of more than 7000 peripheral nerve and plexus blocks for neurologic and other complications.
        Reg Anesth Pain Med. 2009; 34 (534-541): 534-541
        • Yajnik M.
        • Kou A.
        • Mudumbai S.C.
        • et al.
        Peripheral nerve blocks are not associated with increased risk of perioperative peripheral nerve injury in a Veterans Affairs inpatient surgical population.
        Reg Anesth Pain Med. 2019; 44: 81-85
        • Jeng C.
        • Torrillo T.
        • Rosenblatt M.
        Complications of peripheral nerve blocks.
        Br J Anaesth. 2010; 105: i97-i107
        • Barrington M.J.
        • Snyder G.L.
        Neurologic complications of regional anesthesia.
        Curr Opin Anesthesiology. 2011; 24: 554-560
        • Neal J.M.
        • Barrington M.J.
        • Brull R.
        • et al.
        The Second ASRA Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine: Executive Summary 2015.
        Reg Anesth Pain Med. 2015; 40: 401-430
        • Walker K.J.
        • McGrattan K.
        • Aas-Eng K.
        • et al.
        Ultrasound guidance for peripheral nerve blockade.
        Cochrane Database Syst Rev. 2009; 4
        • Fredrickson M.J.
        • Kilfoyle D.H.
        Neurological complication analysis of 1000 ultrasound guided peripheral nerve blocks for elective orthopaedic surgery: a prospective study.
        Anaesthesia. 2009; 64: 836-844
      1. Sites BD, Taenzer AH, Herrick MD, et al. Incidence of local anesthetic systemic toxicity and postoperative neurologic symptoms associated with 12,668 ultrasound-guided nerve blocks: an analysis from a prospective clinical registry. 2012.

        • Cozowicz C.
        • Poeran J.
        • Zubizarreta N.
        • et al.
        Trends in the Use of Regional Anesthesia: Neuraxial and Peripheral Nerve Blocks.
        Reg Anesth Pain Med. 2016; 41: 43-49
        • Kolodychuk N.
        • Krebs J.C.
        • Stenberg R.
        • et al.
        Fascia Iliaca Blocks Performed in the Emergency Department Decrease Opioid Consumption and Length of Stay in Hip Fracture Patients.
        J Orthop Trauma. 2021; https://doi.org/10.1097/BOT.0000000000002220
        • O'Neil M.
        • Berkman N.
        • Hartling L.
        • et al.
        Observational evidence and strength of evidence domains: case examples.
        Syst Rev. 2014; 3: 35https://doi.org/10.1186/2046-4053-3-35
        • Chou R.
        • Aronson N.
        • Atkins D.
        • et al.
        AHRQ series paper 4: assessing harms when comparing medical interventions: AHRQ and the effective health-care program.
        J Clin Epidemiol. 2010; 63: 502-512
        • Mancel L.
        • Van Loon K.
        • Lopez A.M.
        Role of regional anesthesia in Enhanced Recovery After Surgery (ERAS) protocols.
        Curr Opin Anaesthesiol. 2021; 34: 616-625