Effectiveness of magnesium sulfate as an adjuvant to anesthesia for the patient with hip fracture
Keywords:
HIP FRACTURES, SURGICAL PROCEDURES, OPERATIVE, ADJUVANTS, ANESTHESIA, MAGNESIUM SULFATEAbstract
Background: the anesthetic effect of magnesium sulfate is related to several mechanisms as an antagonist of the N-methyl-D-aspartate receptors.
Objective: to evaluate the adjuvant effectiveness of magnesium sulfate in patients aged 60 years and older who underwent surgery for hip fracture at the "Manuel Ascunce Domenech" General Teaching Hospital of the province of Camagüey, from November 2014 to September 2018.
Methods: an analytical, prospective case-control study was conducted with the patients and at the institution and period of time declared in the objective. The sample included 180 patients distributed in a simple 1:1 random in the control and study groups. Those included in the latter were administered magnesium sulfate during the preoperative care.
Results: we verified a higher risk of hip fracture in female patients, and in those aged 65 years and older; the largest number of patients underwent an intrathecal neuroaxial technique, without changes in the assessed clinical parameters. The duration of analgesia at 12 hours postoperatively was seven times higher in those of the study group with respect to the control group.
Conclusions: the perioperative parenteral administration of magnesium sulfate in patients with the diagnosis of hip fracture was effective, extending the duration of analgesia.
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