Hello, my name is and I'm currently a medical student at the George Washington University school of medicine and health sciences in Washington, D. C. And today I will be presenting a project evaluating the association of anesthesia type with postoperative complications and patients undergoing fracture repair. Our disclosures can be found on the my academy app. General and neuroxin anesthesia are both successful anesthesia techniques used in many orthopedic procedures. Anesthesia involves local and effects being placed around the central nervous system. Final anesthesia is a subtype of anesthesia where the anesthetic is injected into. The interest equal space general anesthesia is usually recommended ambulatory surgeries for its rapid onset of action. However, current literature shows contradictory complication profiles between these 2 anesthesia type. Therefore, the purpose of the study was to compare the complications and length of hospital stay between patients who underwent general anesthesia. Versus neuroxin anesthesia during the pair of ankle fractures. By evaluating 30 day postoperative outcomes, the postoperative blood transfusion necessity as well as readmission rate and re, operation rate. And the length of hospital stay the national surgical quality improvement program database was utilized to identify patients who underwent over reduction, internal fixation. For an ankle fracture between the years of 2014 and 2018. Cpt codes are used to identify this patient population. The patients were further stratified into 2 cohorts. Those who underwent for the ankle with general anesthesia. And those who underwent for the ankle with neuroxin anesthesia. Patients were excluded from the study if they had missing data, such as their sex, race, and their American society anesthesiologist score. They were additionally excluded if they had an grade above 5. If they were younger than 18, or if they had a bleeding disorder. Once we had our 2 cohorts. To find, we then did further by various and multivariable regression analysis. On the 2 cohorts to determine differences in the demographics and the. As well, as the postoperative complications. The multivariate regression, logistical regression analysis allowed us to account for the patient demographics and comorbidities. To focus solely on the 30 day postoperative complication rate. Of the 3585 patients who underwent operative treatment for ankle fractures. 3316 patients had general anesthesia. And 270 had neuroxin anesthesia. Compared to patients who had general anesthesia, those who had neuroxin anesthesia were more likely. To be older Caucasian and have an classification of 3. On by various analysis, which can be seen in table 3. Patients who had neuroxin anesthesia were more likely to develop pulmonary complications. And to have an extended length of stay more than 5 days. Compared to the general anesthesia group, following the judge adjustment on multivariate analysis. The neuroxin anesthesia cohort no longer had increased likelihood of pulmonary complications or extended length of stay. When compared to the general anesthesia group, and this data can be seen in table for. Prior studies have shown that neuroxin anesthesia methods are as effective as general anesthesia methods with fewer short term outcomes. In our study, patients received neuroxin anesthesia experienced no significant increases in postoperative complications or length of hospital stay. Compared to those with 101 general anesthesia after accounting for demographics and comorbidities. Therefore, our study coincides with the previous studies done looking at these 2 methods of anesthesia. 1 conclusion that we can draw from this data is that healthy patients with ankle fractures could also benefit from their actual anesthetic methods. And they should be considered for this anesthesia type, regardless of their lack of comorbidities. That would make them high risk for general anesthesia. Knowing this, we can help address potential patient care. Disparities, orthopedic surgery and health care in general. By looking at the patient as a whole and taking into account what could be the. Most effective way to provide anesthesia for patients, regardless of their comorbidities and demographics and looking solely at the postoperative complications possible. Thank you.

anesthesia type

postoperative complications

neuroxin anesthesia

ankle fracture patients

patient care disparities