Survival of female geriatric patients after hip fracture surgery. A comparison of 5 anesthetic methods.

Abstract:

:Female geriatric patients (mean age 80.9 years; n = 169) undergoing surgery for hip fracture were given epidural, neurolept analgesia, ketamine, enflurane or halothane anesthesia. The rate of survival in the different groups was studied up to 4 years after the operation and compared with the expected survival of normal groups of women with the same age distribution. Mortality at 1 month (6.5%) was equally distributed between the anesthetic methods and was not correlated to age or the type of fracture. The preoperative condition of the patient seemed to be the most important factor for survival. At 6 months, the rate of mortality was 17.2%. Together with age, the type of fracture was the most important determinant for survival. Differences in late survival between the groups were recorded, but the clinical significance of these differences is uncertain since many factors other than the anesthetic method may be more important.

authors

Wickström I,Holmberg I,Stefánsson T

doi

10.1111/j.1399-6576.1982.tb01825.x

subject

Has Abstract

pub_date

1982-12-01 00:00:00

pages

607-14

issue

6

eissn

0001-5172

issn

1399-6576

journal_volume

26

pub_type

杂志文章
  • Breathing mechanics, dead space and gas exchange in the extremely obese, breathing spontaneously and during anaesthesia with intermittent positive pressure ventilation.

    abstract::Breathing mechanics and gas exchange were studied in 10 extremely obese subjects (average weight 138 kg) prior to and during anaesthesia with mechanical ventilation. Breathing mechanics were analysed from measurements of transpulmonary pressure (during anaesthesia, trans-chest wall pressure as well) inspiratory gas fl...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1976.tb05036.x

    authors: Hedenstierna G,Santesson J

    更新日期:1976-01-01 00:00:00

  • Dixyrazine for the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy.

    abstract:BACKGROUND:The study assessed the efficacy and safety of dixyrazine, an alternative neuroleptic drug to droperidol, in the prophylaxis of postoperative nausea and vomiting (PONV). METHODS:A total of 197 patients scheduled for laparoscopic cholecystectomy under general anesthesia were randomized to receive either dixyr...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2004.00526.x

    authors: Glaser C,Sitzwohl C,Wallner T,Lerche A,Marhofer P,Schindler I

    更新日期:2004-11-01 00:00:00

  • Atelectasis and lung function in the postoperative period.

    abstract::Thirteen patients with healthy hearts and lungs, and with a mean age of 68 years, who were scheduled for lower abdominal surgery during isoflurane anaesthesia with muscular paralysis, were investigated with arterial blood gases, spirometry, pulmonary x-ray and computed tomography (CT) of the chest before and during an...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1992.tb03516.x

    authors: Lindberg P,Gunnarsson L,Tokics L,Secher E,Lundquist H,Brismar B,Hedenstierna G

    更新日期:1992-08-01 00:00:00

  • Seizures in a 77-year-old-woman after a bolus dose of remifentanil.

    abstract::Seizures in patients with no history of epilepsy has been associated with administration of remifentanil in two previous case reports. We present a case where a bolus dose of remifentanil (50 micrograms/kg) was followed by a self terminating generalised tonic-clonic seizure in a patient admitted for acute hip surgery,...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.0001-5172.2004.00294.x

    authors: Nielsen J,Krøigaard M

    更新日期:2004-02-01 00:00:00

  • Tissue distribution of thiopental and diazepam in rats at 71 atmospheres pressure.

    abstract::35S-thiopental 15 mg/kg and 14C-diazepam 5 mg/kg were injected intravenously in separate groups of rats (n = 6) at 1 ATA air and at 71 ATA air-He. Total radioactivity was measured in the brain, liver, kidney, muscle and fat after 1, 3, 5 and 15 min. The thiopental content was significantly reduced at pressure in the b...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1983.tb01982.x

    authors: Aanderud L,Thoner J,Bakke OM

    更新日期:1983-12-01 00:00:00

  • Neurologic deficits and arachnoiditis following neuroaxial anesthesia.

    abstract::Of late, regional anesthesia has enjoyed unprecedented popularity; this increase in cases has brought a higher frequency of instances of neurological deficit and arachnoiditis that may appear as transient nerve root irritation, cauda equina, and conus medullaris syndromes, and later as radiculitis, clumped nerve roots...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1034/j.1399-6576.2003.470102.x

    authors: Aldrete JA

    更新日期:2003-01-01 00:00:00

  • Plasma vasopressin response to extracorporeal circulation in children.

    abstract::Plasma vasopressin levels were measured during open-heart surgery in nine children. The control value of vasopressin was 5.5 +/- 1.5 (s.e.mean) microU/ml. During extracorporeal circulation, a maximum 7.3-fold increase of plasma vasopressin level was demonstrated. This high level of vasopressin was considered to have c...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02071.x

    authors: Yamashita M,Ishihara H,Kudo M,Matsuki A,Oyama T

    更新日期:1984-06-01 00:00:00

  • Severe vitamin D deficiency is common in critically ill patients at a high northern latitude.

    abstract:BACKGROUND:Critically ill patients at southern latitudes have been shown to have low vitamin D levels that were associated with prolonged hospital stay. To our knowledge no studies have been conducted on vitamin D status amongst critically ill patients at high northern latitudes. Despite the Icelandic population tradit...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12748

    authors: Kvaran RB,Sigurdsson MI,Skarphedinsdottir SJ,Sigurdsson GH

    更新日期:2016-10-01 00:00:00

  • B-Lines for the assessment of extravascular lung water: Just focused or semi-quantitative?

    abstract:BACKGROUND:B-lines as typical artefacts of lung ultrasound are considered as surrogate measurement for extravascular lung water. However, B-lines develop in the sub-pleural space and do not allow assessment of the whole lung. Here, we present data from the first observational multi-centre study focusing on the correlat...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aas.13586

    authors: Seibel A,Zechner PM,Berghold A,Holter M,Braß P,Michels G,Leister N,Gemes G,Donauer R,Giebler RM,Sakka SG

    更新日期:2020-08-01 00:00:00

  • Dementia and CSF-biomarkers for Alzheimer's disease predict mortality after acute hip fracture.

    abstract:BACKGROUND:Mortality is high after an acute hip fracture (AHF) surgery. Are cognitive impairment and/or altered levels of Alzheimer's Disease (AD)-biomarkers in cerebrospinal fluid (CSF) predictors of mortality in AHF-patients, as retrospective studies indicate? METHODS:Prospective single-center study including 373 AH...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13472

    authors: Dutkiewicz R,Zetterberg H,Andreasson U,Blennow K,Nellgård B

    更新日期:2020-01-01 00:00:00

  • Optimal cut-off for hourly lactate reduction in ICU-treated patients with septic shock.

    abstract:BACKGROUND:A decrease in lactate concentration over time during septic shock is associated with favourable outcomes. However, if this applies to hourly intervals during the initial time period in the ICU is unknown. The aim of this study was to investigate whether there is an early hourly reduction rate of lactate that...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13366

    authors: Promsin P,Grip J,Norberg Å,Wernerman J,Rooyackers O

    更新日期:2019-08-01 00:00:00

  • Definition, prevalence, and outcome of feeding intolerance in intensive care: a systematic review and meta-analysis.

    abstract::Clinicians and researchers frequently use the phrase 'feeding intolerance' (FI) as a descriptive term in enterally fed critically ill patients. We aimed to: (1) determine what is the most accepted definition of FI; (2) estimate the prevalence of FI; and (3) evaluate whether FI is associated with important outcomes. Sy...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/aas.12302

    authors: Blaser AR,Starkopf J,Kirsimägi Ü,Deane AM

    更新日期:2014-09-01 00:00:00

  • Risk factors of acute kidney injury in children after cardiac surgery.

    abstract:BACKGROUND:The objective of this retrospective study was to determine the risk factors for acute kidney injury (AKI), including albumin, in children who underwent cardiac surgery. In addition, we evaluated the association between preoperative serum albumin level and postoperative AKI in these patients. METHODS:This re...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13210

    authors: Lee JH,Jung JY,Park SW,Song IK,Kim EH,Kim HS,Kim JT

    更新日期:2018-11-01 00:00:00

  • Vasopressor hormone response following mesenteric traction during major abdominal surgery.

    abstract:BACKGROUND:We investigated the vasopressor hormone response following mesenteric traction (MT) with hypotension due to prostacyclin (PGI2) release in patients undergoing abdominal surgery with a combined general and epidural anesthesia. METHODS:In a prospective, randomized, placebo-controlled study we administered 400...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1998.tb05355.x

    authors: Brinkmann A,Seeling W,Wolf CF,Kneitinger E,Schönberger C,Vogt N,Orend KH,Büchler M,Radermacher P,Georgieff M

    更新日期:1998-09-01 00:00:00

  • Contributions of myocardial ischemia and heart rate to ST segment changes in patients with or without coronary artery disease.

    abstract:BACKGROUND:ST changes related to ischemia at different heart rates (HRs) have not been well described. We aimed to analyze ST dynamic changes by vectorcardiography (VCG) during pacing-induced HR changes for subjects with proven coronary artery disease (CAD) and without (non-CAD). METHODS:Symptomatic CAD patients sched...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01507.x

    authors: Häggmark S,Haney MF,Johansson G,Reiz S,Näslund U

    更新日期:2008-02-01 00:00:00

  • Leptin and perioperative neuroendocrine stress response with two different anaesthetic techniques.

    abstract:BACKGROUND:Stress response to surgery is modulated by several factors, including magnitude of the injury, pain, type of procedure and choice of anaesthesia. Our purpose was to compare intra- and post-operative hormonal changes during total intravenous anaesthesia (TIVA) using propofol and remifentanil vs. sevoflurane a...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2008.01589.x

    authors: Marana E,Scambia G,Colicci S,Maviglia R,Maussier ML,Marana R,Proietti R

    更新日期:2008-04-01 00:00:00

  • Studies on fluid extravasation related to induced hypothermia during cardiopulmonary bypass in piglets.

    abstract:BACKGROUND:Hypothermia, commonly used for organ protection during cardiopulmonary bypass (CPB), has been associated with changes in plasma volume, hemoconcentration and microvascular fluid shifts. Fluid pathophysiology secondary to hypothermia and the mechanisms behind these changes are still largely unknown. In a rece...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.045006720.x

    authors: Heltne JK,Koller ME,Lund T,Farstad M,Rynning SE,Bert JL,Husby P

    更新日期:2001-07-01 00:00:00

  • A double-blind trial of the analgesic properties of physostigmine in postoperative patients.

    abstract::A double-blind clinical trial of the analgesic and antisedative effects of physostigmine was carried out on surgical patients (n = 60) during the first hours postoperatively. Pethidine and placebo were included for comparison in the double-blind study. The degree of pain and sedation was estimated when the patient dem...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1986.tb02414.x

    authors: Petersson J,Gordh TE,Hartvig P,Wiklund L

    更新日期:1986-05-01 00:00:00

  • Intestinal and hepatic perfusion and metabolism in hypodynamic endotoxic shock. Effects of nitric oxide synthase inhibition.

    abstract:BACKGROUND:Inhibition of nitric oxide synthase (NOS) has been claimed to be beneficial in septic shock. We investigated the overall and regional effects of a NOS-inhibitor on perfusion and metabolism during severe endotoxic shock. METHODS:Nineteen anaesthetised pigs were catheterised and ultrasonic flow-probes were pl...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.1999.430113.x

    authors: Dahm PL,Thörne J,Myhre E,Grins E,Mårtensson L,Blomquist S

    更新日期:1999-01-01 00:00:00

  • Oxygenation and release of inflammatory mediators after off-pump compared with after on-pump coronary artery bypass surgery.

    abstract:BACKGROUND:In a previous study, we showed that oxygenation was impaired for up to 5 day after conventional coronary artery bypass grafting (CABG). As cardiopulmonary bypass (CPB) may have a detrimental effect on pulmonary function, we hypothesized that coronary revascularization grafting without the use of CPB (OPCAB) ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2007.01426.x

    authors: Rasmussen BS,Laugesen H,Sollid J,Grønlund J,Rees SE,Toft E,Gjedsted J,Dethlefsen C,Tønnesen E

    更新日期:2007-10-01 00:00:00

  • Cardiac arrest during anaesthesia. A computer-aided study in 250,543 anaesthetics.

    abstract::With the aid of a computer-based anaesthetic record-keeping system, all cardiac arrests during anaesthesia at the Karolinska Hospital between July 1967 and December 1984 were retrieved. There were a total of 170 cardiac arrests and 250,543 anaesthetics in the data file, which gives an incidence of 6.8 cardiac arrests ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1988.tb02804.x

    authors: Olsson GL,Hallén B

    更新日期:1988-11-01 00:00:00

  • Circulatory effects of short-term hypercapnia during thoracolumbar epidural anaesthesia.

    abstract::In ten elderly patients subjected to extensive thoracolumbar epidural anaesthesia, circulatory changes were studied before and during sympathetic stimulation. Induced hypercapnia was used as a sympathetic stimulus. After establishment of the epidural anaesthesia, which extended from T1 to L2, there were decreases in h...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1987.tb02536.x

    authors: Sundberg A,Wattwil M,Wiklund L

    更新日期:1987-02-01 00:00:00

  • Impact of gender on treatment and outcome of ICU patients.

    abstract:BACKGROUND:Gender modifies immunologic responses caused by severe trauma or critical illness. The aim of this study was to investigate the impact of gender on hospital mortality, length of intensive care unit (ICU) stay, and intensity of care of patients treated in ICUs. METHODS:Data on 24,341 ICU patients were collec...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2005.00759.x

    authors: Reinikainen M,Niskanen M,Uusaro A,Ruokonen E

    更新日期:2005-08-01 00:00:00

  • Cell-mediated and humoral immune responses to total hip replacement under spinal or general anaesthesia.

    abstract::Regional anaesthesia has many advantages over general anaesthesia in hip surgery. When the effects of total hip replacement under spinal or general anaesthesia were compared in 22 patients, the only difference between the groups occurred in PHA-induced lymphocyte proliferative responses. In contrast, no differences be...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1990.tb03078.x

    authors: Salo M,Nissilä M

    更新日期:1990-04-01 00:00:00

  • Haemodynamics and oxygen consumption in the dog during high epidural block with special reference to the splanchnic region.

    abstract::High epidural block (Th I-IV) with bupivacaine was carried out in 16 dogs. Mean arterial blood pressure decreased to 52% of control value owing to nearly equal decreases in systemic vascular resistance and cardiac output. Portal venous blood flow decreased from 25.8 +/- 8.6 to 16.7 +/- 7.2 ml/kg b.w. X min-1 following...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1983.tb01937.x

    authors: Greitz T,Andreen M,Irestedt L

    更新日期:1983-06-01 00:00:00

  • A new method of securing the airway for differential lung ventilation in intensive care.

    abstract::Differential lung ventilation to achieve optimised ventilation for each lung is a procedure rarely used in the intensive care unit, to treat select cases of severe unilateral lung disease in intensive care. However, existing techniques both for securing the airway and ventilating the lungs are challenging and have com...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12285

    authors: Skjeflo GW,Dybwik K

    更新日期:2014-04-01 00:00:00

  • Controlled ventilation using the Lack circuit with an injector device.

    abstract::A Lack breathing system with an injector device has been used for controlled ventilation. Oxygen was delivered through an injector device, which was positioned between the Lack circuit and the catheter mount, whilst nitrous oxide was delivered from the anaesthetic machine. The circuit was fully tested on two model lun...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02087.x

    authors: Hopkinson ND,Harrison MJ

    更新日期:1984-08-01 00:00:00

  • Arterial oxygen tension increase 2-3 h after hyperbaric oxygen therapy: a prospective observational study.

    abstract:BACKGROUND:Inhalation of hyperbaric oxygen (HBO) has been reported to decrease arterial oxygen tension (PaO(2)) in the early period after exposure. The current investigation aimed at evaluating whether and to what extent arterial blood gases were affected in mechanically ventilated intensive care patients within 6 h af...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01197.x

    authors: Ratzenhofer-Komenda B,Offner A,Ofner P,Klemen H,Prause G,Smolle-Jüttner FM,Toller W

    更新日期:2007-01-01 00:00:00

  • Danish Anaesthesia Allergy Centre - preliminary results.

    abstract:BACKGROUND:Anaphylactoid reactions in anaesthesia are rare and should ideally be investigated in specialist centres. At Gentofte University Hospital, we established such a centre in 1998 as a joint venture between the Departments of Anaesthesiology and Dermatology. We present the methodology, diagnostic algorithm and p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.451005.x

    authors: Garvey LH,Roed-Petersen J,Menné T,Husum B

    更新日期:2001-11-01 00:00:00

  • Ultrasound-guided ulnar nerve catheter placement in the forearm for postoperative pain relief and physiotherapy.

    abstract::Consistent identification of peripheral nerves as well as placement of catheters for post-operative pain relief is possible with the aid of ultrasound. By blocking a single nerve rather than the entire extremity, pain can be eliminated without impairing motor function of the entire extremity, providing greater patient...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2008.01762.x

    authors: Lurf M,Leixnering M

    更新日期:2009-02-01 00:00:00