title: Epidural methadone for analgesic management of patients with conservatively treated proximal femoral fractures.
abstract: Epidural methadone analgesia was initiated soon after admission to emergency room in elderly patients who sustained osteoporotic proximal femoral fracture and who were considered to be high surgical risks. The severe pain was significantly reduced, enabling early mobilization of the patients. The analgesia was discontinued only when nonnarcotic analgesia sufficed. The treatment lasted for about 3.5 weeks. One minor complication was observed during the treatment period. We concluded that patients who have femoral neck fracture who are at high risk for operation and have to be observed and stabilized before operation can be managed by continuous epidural methadone analgesia.
authors: Department of Orthopedic Surgery, Soroka Medical Center, Beer-Sheba, Israel.
authors: M
authors: M
authors: Nyska
authors: Y
authors: Y
authors: Shapira
authors: B
authors: B
authors: Klin
authors: B
authors: B
authors: Drenger
authors: J Y
authors: JY
authors: Margulies
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications* / Q000628:therapy; D006801:Humans; D007268:Injections, Epidural; D008297:Male; D008691:Methadone / Q000008:administration & dosage*; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010147:Pain Measurement
chemical_list: D008691:Methadone