[Anesthesiological support of osteosynthesis of the proximal portion of the femur in the middle-aged and elderly].

The observations over 296 elderly and senile patients with fractures of the proximal portion of the femur have proved that intravenous preparations (gamma-hydroxybutyric acid, viadril, ketamine, sombrevin, seduxen) are the most promising narcotics, especially in patients with a considerable surgical risk. A thorough postoperative control and timely and complete correction of hemodynamic disorders, functional disturbances of external respiration and metabolic disorders, together with a wide use of exercise therapy and physiotherapy, favour the rehabilitation of such patients.