VIDEO: Monitored anesthesia care may decrease altered mental status vs. general anesthesia

BySanjit R. Konda, MD

ByCasey Tingle

Fact checked byGina Brockenbrough, MA

Key takeaways:

The incidence of altered mental status was 18% with monitored anesthesia care vs. 29% with general anesthesia.
This technique may decrease altered mental status in patients with dementia.

SAN FRANCISCO — Results presented here showed patients with hip fracture who received monitored anesthesia care had a decrease in altered mental status compared with patients who received general anesthesia.

In a retrospective review, Sanjit R. Konda, MD, and colleagues found patients with hip fracture who received monitored anesthesia care-soft tissue infiltration with local anesthesia (MAC-STILA; n=79) had an overall incidence of altered mental status of 18% vs. 29% in a general anesthesia group (n=158). In a subset of patients with dementia, Konda said approximately 50% in the MAC-STILA group had altered mental status in the postoperative period compared with approximately 100% in the general anesthesia group.

“We think this technique is a good technique to decrease altered mental status in patients with hip fractures,” Konda, associate professor of orthopedic surgery at NYU Langone Health, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “Different than the way general anesthesia is delivered, those anesthetic medications can cause a lot of postoperative delirium; whereas when you are undergoing sedation, it appears that this delivery method of anesthesia will decrease your incidence of postoperative altered mental status.”

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Sources/Disclosures

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Source:

Fisher ND, et al. Paper 441. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.

Disclosures: Konda reports no relevant financial disclosures.