A Comprehensive Review of Analgesia and Pain Modalities in Hip Fracture Pathogenesis.

A Comprehensive Review of Analgesia and Pain Modalities in Hip Fracture Pathogenesis.

Publication date: Aug 06, 2019

Hip fracture is common in the elderly population, painful and costly. The present investigation was undertaken to review epidemiology, socio-economic and medical implications, relevant anatomy, and anesthetic and pain modalities of hip fracture.

A literature search of PubMed, Ovid Medline, and Cochrane databases was conducted in December 2018 to identify relevant published clinical trials, review articles, and meta-analyses studies related to anesthetic and pain modalities of hip fracture. The acute pain management in these situations is often challenging. Common issues associated with morbidity and mortality include patients’ physiological decrease in function, medical comorbidities, and cognitive impairment, which all can confound and complicate pain assessment and treatment. Perioperative multidisciplinary and multimodal approaches require medical, surgical, and anesthesiology teams employing adequate preoperative optimization. Reduction in pain and disability utilizing opioid and non-opioid therapies, regional anesthesia, patient-tailored anesthetic approach, and delirium prevention strategies seems to ensure best outcomes.

Dizdarevic, A., Farah, F., Ding, J., Shah, S., Bryan, A., Kahn, M., Kaye, A.D., and Gritsenko, K. A Comprehensive Review of Analgesia and Pain Modalities in Hip Fracture Pathogenesis. 03884. 2019 Curr Pain Headache Rep (23):10.

Concepts Keywords
Anesthesiology Pain
Anesthetic Anesthetic approach delirium
Clinical Trials Pain management
Cochrane Acute pain management
Cognitive Impairment Psychoactive drugs
Common Acute pain
Comorbidities Analgesics
Delirium Anesthesia
Disability Anesthesiology
Epidemiology Local anesthesia
Fracture Anesthetic
Headache Ketamine
Hip Fracture
Medline
Morbidity
Mortality
Multimodal
Opioid
Optimization
Ovid
Pain
Pain Management
PubMed
Regional Anesthesia

Semantics

Type Source Name
disease MESH delirium
disease MESH cognitive impairment
gene UNIPROT ST13
gene UNIPROT HHIP
gene UNIPROT REG3A
disease DOID Analgesia

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