Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia

Elderly patients undergoing hip fracture surgery represent a myriad of perioperative challenges and risks. The arrival of the global pandemic of novel coronavirus disease 2019 (COVID-19) adds an unprecedented challenge to the management of hip fracture patients. We describe the unique experience and...

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Detalles Bibliográficos
Autores principales: Beathe, Jonathan C., Memtsoudis, Stavros G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
The COVID-19 Pandemic Effects on Older Adults, Families, Caregivers, Health Care Providers and Communities – Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502988/
https://www.ncbi.nlm.nih.gov/pubmed/32995369
http://dx.doi.org/10.1177/2333721420956766
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author Beathe, Jonathan C.
Memtsoudis, Stavros G.
author_facet Beathe, Jonathan C.
Memtsoudis, Stavros G.
author_sort Beathe, Jonathan C.
collection PubMed
description Elderly patients undergoing hip fracture surgery represent a myriad of perioperative challenges and risks. The arrival of the global pandemic of novel coronavirus disease 2019 (COVID-19) adds an unprecedented challenge to the management of hip fracture patients. We describe the unique experience and favorable outcome of a 100-year-old COVID-positive hip fracture patient that underwent spinal anesthesia for hemiarthroplasty and subsequent hydroxychloroquine (HCQ) therapy. Multiple factors of varying known benefit may have contributed to our outcome, including preoperative medical consultation and assessment, early surgical intervention, regional anesthesia with little to no sedation, early mobilization and HCQ therapy.
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spelling pubmed-75029882020-09-28 Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia Beathe, Jonathan C. Memtsoudis, Stavros G. Gerontol Geriatr Med The COVID-19 Pandemic Effects on Older Adults, Families, Caregivers, Health Care Providers and Communities – Case Report Elderly patients undergoing hip fracture surgery represent a myriad of perioperative challenges and risks. The arrival of the global pandemic of novel coronavirus disease 2019 (COVID-19) adds an unprecedented challenge to the management of hip fracture patients. We describe the unique experience and favorable outcome of a 100-year-old COVID-positive hip fracture patient that underwent spinal anesthesia for hemiarthroplasty and subsequent hydroxychloroquine (HCQ) therapy. Multiple factors of varying known benefit may have contributed to our outcome, including preoperative medical consultation and assessment, early surgical intervention, regional anesthesia with little to no sedation, early mobilization and HCQ therapy. SAGE Publications 2020-09-19 /pmc/articles/PMC7502988/ /pubmed/32995369 http://dx.doi.org/10.1177/2333721420956766 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle The COVID-19 Pandemic Effects on Older Adults, Families, Caregivers, Health Care Providers and Communities – Case Report
Beathe, Jonathan C.
Memtsoudis, Stavros G.
Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia
title Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia
title_full Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia
title_fullStr Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia
title_full_unstemmed Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia
title_short Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia
title_sort case report: 100-year-old covid-positive hip fracture patient for hemiarthroplasty under spinal anesthesia
topic The COVID-19 Pandemic Effects on Older Adults, Families, Caregivers, Health Care Providers and Communities – Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502988/
https://www.ncbi.nlm.nih.gov/pubmed/32995369
http://dx.doi.org/10.1177/2333721420956766
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