This study aims to compare the hemodynamic impact of two anaesthetic strategies 'Regional anesthesia' versus 'General anesthesia' in leg and ankle fractures surgery.
Leg and/or ankle surgery is frequently performed under General Anesthesia (GA). GA is frequently associated with a high risk of hypotension with significant consequences. Regional anesthesia could be an interesting alternative to GA in order to limit hemodynamic consequences, especially in elderly patients. Furthermore, in the current state of Covid 19 crisis, regional anesthesia could provide solutions in preserving drugs for GA and exposing less medical staff on patient's airway. Currently, unlike neuraxial anesthesia, few data deal with impact of peripheral RA and hemodynamic consequences. The investigators hypothesize that the use of Regional anesthesia reduces the use of intraoperative vasopressor. After ethical committee approval, a retrospective cohort of patients with lower limb traumatism, in Montpellier's University Hospital, was analyzed from 2016 to 2020. An informational note was given to all patients participating to the study.
Study Type
OBSERVATIONAL
Enrollment
250
Uhmontpellier
Montpellier, France
use of vasopressors
use of vasopressors during surgery
Time frame: during surgery
Total dose of vasoconstrictor
Total dose of vasoconstrictor administered
Time frame: during surgery
Duration of peroperative hypotension
Duration of peroperative hypotension
Time frame: during surgery
Post-operative complications
Nausea/vomiting ; Cardiovascular complications ( dysrhythmias, ischaemia, Complications related to regional anesthesia (sciatic nerve paralysis, femoral) haematoma thromboembolism, sepsis, postoperative cognitive disorders);
Time frame: up to 7 days
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