Pain relief management following proximal femoral fractures: Options, issues and controversies

Injury
Theodoros H TosounidisPeter V Giannoudis

Abstract

The majority of proximal femoral fractures occur in the elderly population. Safe and adequate pain relief is an integral part of the overall management of hip fractures. Inherent difficulties in the assessment of pain in elderly need to be taken into account and unique considerations should be made regarding the effective analgesia due to different elderly physiology, and their response to trauma and subsequent surgery. The pain management should start as soon as possible and special emphasis should be paid to contemporary methods of regional anaesthesia whilst a multimodal approach should be adopted in the perioperative period. The present review summarises the contemporary treatment options and controversies pertaining to the management of pain in elderly patients with proximal femoral fractures.

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Citations

Jan 16, 2016·Injury·Enrique GueradoAntonio Campos
Mar 5, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Dionysios GiannoulisPeter V Giannoudis
Apr 23, 2016·Journal of Orthopaedic Trauma·Anthony G Sanzone
May 12, 2020·Journal of Pharmaceutical Health Care and Sciences·Gabriella CaleresSara Modig
Nov 25, 2020·International Journal of Laboratory Hematology·Andreas G TsantesArgirios E Tsantes
Nov 3, 2020·European Journal of Pain : EJP·Maria Cristina Leite FerrazMaria do Carmo de Oliveira Ribeiro

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