Peripheral Nerve and Plexus Blocks for Hip Surgery in a Nonagenarian with Severe Cardiac Disease
- Resource Type
- article
- Authors
- Utsav Acharya; Ninadini Shrestha; Ritesh Lamsal
- Source
- Journal of Nepal Health Research Council, Vol 20, Iss 01 (2022)
- Subject
- Public aspects of medicine
RA1-1270
- Language
- English
- ISSN
- 1727-5482
1999-6217
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.