The effect of anesthesia on the risk of postoperative myocardial injury in elderly patients with hip fracture: randomized controlled trial

Hip fractures are a common pathology among patients older 50 years and cause disability, reduced duration quality of life, even with adequate management surgery. In the perioperative period, most complications leading to death cardiovascular disease. about hip fracture.
 The aim our study was determine safest method anesthesia in context acute myocardial injury during fracture objectives were frequency postoperative damage fractures; compare MINS different types anesthesia: general (GA), spinal (SA) compartment psoas block sciatic nerve block.
 Materials methods. Randomized controlled trial conducted from January 2018 August 2019 medical center “Into-Sana” (Odessa, Ukraine). Patients planned osteosynthesis proximal femur randomized into 3 groups depending on systemic analgesia, prolonged Results. involved 90 patients. Acute diagnosed 17.6 % cases. Postoperative elevation troponins significantly more often compared group which used combination block. None had symptoms ischemia not infarction. Hypotension 2 (OR 9 95 CI 1.9-47, p=0.004) There direct moderate association between intraoperative hypotension development (r = 0.5).
 Conclusions. Prolonged intraoperatively is injury. Intraoperative associated