This study aims to compare the hemodynamic impact of two anaesthetic strategies : Regional anesthesia versus General anesthesia in proximal humeral fracture surgery.
Proximal humeral fracture 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 exposing less medical staff on patient's airway. The investigators hypothesize that the use of Regional anesthesia reduces the use of intraoperative vasopressor during surgery. After ethical committee approval, a retrospective cohort of patients with proximal humeral fracture, 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
Uh Montpellier
Montpellier, France
Number of Participants requiring vasopressors in peroperative
Number of Participants who used vasopressors in peroperative
Time frame: during surgery (between anaesthethic induction and end of surgical procedure)
Total dose of vasoconstrictor
Total dose of vasoconstrictor
Time frame: during surgery (between anaesthethic induction and end of surgical procedure)
Total time spent on vasopressor
Total time spent on vasopressor
Time frame: during surgery (between anaesthethic induction and end of surgical procedure)
Intraoperative complications
Intraoperative complications other than hypotension
Time frame: during surgery (between anaesthethic induction and end of surgical procedure)
Postoperative complications
nausea/vomiting; cardiovascular complications; complications related to regional anesthesia ; postoperative cognitive disorders
Time frame: between surgery and 2 days post-operative
total dose of rescue analgesia
opioids
Time frame: between discharge from operating room and 24h post-operative
Total time spent in the operating room
Total time spent in the operating room
Time frame: between arrival in the operating room and discharge from the operating room
Length of stay in duty or ICU
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Length of stay in duty or ICU
Time frame: between the day of surgery and up to 1 month