VIDEO: General anesthesia may increase adverse events, complications in older patients
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Key takeaways:
- Patients had more adverse events and complications with general anesthesia.
- General anesthesia was associated with longer operative time, and spinal anesthesia was associated with longer hospitalization.
LAS VEGAS — Results showed general anesthesia was an independent predictor for increased risk of adverse events and postoperative complications in older patients who underwent operative treatment of intertrochanteric fractures.
Among older patients undergoing operative treatment of intertrochanteric fractures, researchers found patients who received general anesthesia had more adverse events and complications vs. those who had spinal anesthesia. Multivariate logistic regression analysis also showed general anesthesia was an independent predictor for increased risk of adverse events, postoperative complications, bleeding requiring transfusion, failure to wean off ventilators and cardiac complications.
“We believe that surgeons should consider these risks and patient comorbidities prior to choosing which mode of anesthesia to choose, whether it’s spinal or general,” Nishant Suneja, MD, of Brigham and Women’s Hospital, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
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Krasnyanskiy B, et al. Poster 967. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting. March 7-11, 2023; Las Vegas.
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