bandage-green

Hip Hemiarthroplasty

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, Supine, arms extended
Time : 1-2 hours (average)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : With GA; none under spinal
Blocks : Fascia Illiaca, PENG, Femoral
Considerations : Aspiration risk / Full stomach, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1Spinal, Propofol Drip, Nerve Block
2GETT, Nerve Block
The Surgery

Positioning - lateral decubitus for the posterior or direct lateral approach; supine for the anterior approach. Exposure - capsulotomy and extraction of the fractured femoral head. Femoral prep -...

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