Peripheral Nerve and Plexus Blocks for Hip Surgery in a Nonagenarian with Severe Cardiac Disease

Utsav Acharya; Ninadini Shrestha; Ritesh Lamsal

doi:10.33314/jnhrc.v20i01.3309

Peripheral Nerve and Plexus Blocks for Hip Surgery in a Nonagenarian with Severe Cardiac Disease

Utsav Acharya Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal https://orcid.org/0000-0002-4372-9868
Ninadini Shrestha Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal https://orcid.org/0000-0002-9416-596X
Ritesh Lamsal Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal http://orcid.org/0000-0003-4670-6909

DOI: https://doi.org/10.33314/jnhrc.v20i01.3309

Abstract

The hemodynamic alterations and stress response associated with anesthesia and surgery are often poorly tolerated by elderly patients. Regional anesthesia techniques are useful in the elderly as they provide excellent perioperative analgesia with minimal hemodynamic perturbations. We report the case of a 90-year-old man with valvular heart disease and severe left ventricular systolic dysfunction, who underwent dynamic hip screw fixation of fractured femur neck under combined pericapsular nerve group block, lumbar plexus block, and para-sacral sciatic nerve block. We are not aware of any previous report of the combination of these blocks used for surgical anesthesia in hip fracture surgery.
Keywords: Geriatric; hip fracture; pericapsular nerve group block; regional anesthesia.

Published

2022-06-03

How to Cite

AcharyaU., ShresthaN., & LamsalR. (2022). Peripheral Nerve and Plexus Blocks for Hip Surgery in a Nonagenarian with Severe Cardiac Disease. Journal of Nepal Health Research Council, 20(01), 276-278. https://doi.org/10.33314/jnhrc.v20i01.3309

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Issue

Vol. 20 No. 01 (2022): Issue 54 Jan-March, 2022

Section

Case Report

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