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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.
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants requiring vasopressors in peroperative | Number of Participants who used vasopressors in peroperative | during surgery (between anaesthethic induction and end of surgical procedure) |
| Measure | Description | Time Frame |
|---|---|---|
| Total dose of vasoconstrictor | Total dose of vasoconstrictor | during surgery (between anaesthethic induction and end of surgical procedure) |
| Total time spent on vasopressor | Total time spent on vasopressor |
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Inclusion Criteria:
Exclusion Criteria:
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Surgery for Proximal humeral fracture between january 2016 and december 2020
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uh Montpellier | Montpellier | 34090 | France |
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| ID | Term |
|---|---|
| D012784 | Shoulder Fractures |
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D014652 | Vascular Diseases |
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| during surgery (between anaesthethic induction and end of surgical procedure) |
| Intraoperative complications | Intraoperative complications other than hypotension | during surgery (between anaesthethic induction and end of surgical procedure) |
| Postoperative complications | nausea/vomiting; cardiovascular complications; complications related to regional anesthesia ; postoperative cognitive disorders | between surgery and 2 days post-operative |
| total dose of rescue analgesia | opioids | between discharge from operating room and 24h post-operative |
| Total time spent in the operating room | Total time spent in the operating room | between arrival in the operating room and discharge from the operating room |
| Length of stay in duty or ICU | Length of stay in duty or ICU | between the day of surgery and up to 1 month |
| D002318 |
| Cardiovascular Diseases |