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

Anis Dizdarevic, Fadi Farah, Julia Ding, Sapan Shah, Andre Bryan, Mani Kahn, Alan D. Kaye, Karina Gritsenko

Research output: Contribution to journalReview article

Abstract

Purpose of Review: 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. Recent Findings: 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. Summary: 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.

Original languageEnglish (US)
Article number72
JournalCurrent Pain and Headache Reports
Volume23
Issue number10
DOIs
StatePublished - Oct 1 2019

Fingerprint

Hip Fractures
Analgesia
Anesthetics
Pain
Medical Economics
Anesthesiology
Conduction Anesthesia
Delirium
Acute Pain
Pain Measurement
Pain Management
PubMed
Opioid Analgesics
Meta-Analysis
Comorbidity
Anatomy
Epidemiology
Clinical Trials
Databases
Morbidity

Keywords

  • Anesthesia
  • Hip fracture
  • Pain management
  • Regional nerve blocks

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

A Comprehensive Review of Analgesia and Pain Modalities in Hip Fracture Pathogenesis. / Dizdarevic, Anis; Farah, Fadi; Ding, Julia; Shah, Sapan; Bryan, Andre; Kahn, Mani; Kaye, Alan D.; Gritsenko, Karina.

In: Current Pain and Headache Reports, Vol. 23, No. 10, 72, 01.10.2019.

Research output: Contribution to journalReview article

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