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ORIGINAL ARTICLE
Year : 2014  |  Volume : 8  |  Issue : 2  |  Page : 156-161

Clinical strategies to accelerate recovery after surgery orthopedic femur in elderly patients


1 Department of Anesthesiology, Faculty of Medicine, Nova Esperança; Institute for Regional Anesthesia, João Pessoa, PB, Brazil
2 Nutritionist Specializing in Public Health; Head of Nutrition Complexo Hospitalar Mangabeira, João Pessoa, PB, Brazil
3 Nurse with Specialization in the Intensive Care Unit; Nurse Surgical Center Complexo Hospitalar Mangabeira, João Pessoa, PB, Brazil
4 UFPB; Statistician of the Complexo Hospitalar Mangabeira, João Pessoa, PB, Brazil
5 Technical Nursing from the School of Nursing Santa Emilia de Rodat; Technical Nursing Center Surgical Complexo Hospitalar Mangabeira, João Pessoa, PB, Brazil

Correspondence Address:
Prof. Luiz Eduardo Imbelloni
Rua Francisco Diomedes Cantalice, 21/802, Cabo Branco, 58045-210, João Pessoa, PB
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0259-1162.134490

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Background: The prevalence of hip fracture is increasing with the continued aging of the population. The aim of this study was to compare the results after implementing the project accelerated post-operative recovery after surgery femur in patients aged over 60 years. Methods: Patients were observed during two distinct periods: Before implantation and after the implementation of the project Acerto. Patients underwent spinal anesthesia with post-operative analgesia by lumbar plexus block. Data evaluation was carried out in four stages of the study in both groups: Before arrival to the operating room during surgery, post-anesthesia care unit and on the ward in the morning of day 1 post-operatively. Results: The project implementation significantly reduces the length of stay, the number of suspension of surgery, duration of fasting, the incidence of hunger and thirst and the reintroduction of oral feeding. Oral feeding 2-4 h before surgery with dextrinomaltose not attended with nausea and vomiting. All patients were able to discharge on day 1 post-operatively. Conclusions : The use of clinical measures of accelerating patient recovery decreased length of stay, the number of suspensions of surgery, the time of fasting, the time of oral food reintroduction, high earlier and faster return to family life, working as humanization of treatment to the elderly.


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