NYU Langone Health
The purpose of this study is to establish preliminary efficacy of Monitored Anesthesia Care and Soft Tissue Infiltration with Local Anesthesia (MAC-STILA) on severity of post operative delirium and secondary outcomes in patients with and without cognitive impairment.
Inclusion Criteria: \- Adults aged 65 years and older undergoing surgical repair for an intertrochanteric or femoral neck hip fracture are eligible for the study. Fracture fixation can be with cannulated screws, a sliding hip screw (or similar device), a short cephalomedullary nail, or a long cephalomedullary nail. Exclusion Criteria: * Patients with pre-operative delirium; * Patients with a periprosthetic or peri implant fracture; * Patients at risk for malignant hyperthermia (history of malignant hyperthermia, family history of malignant hyperthermia susceptibility, history of rhabdomyoly…
Anesthesiologist titration of intravenous sedation to a level that preserves a natural airway with spontaneous breathing.
Local anesthetic injected directly into the surgical site following sedation.
Participants will be sedated per general anesthesia procedures.