Lumbar plexus block in fond elderly patient with hip surgery: Case Report

Abstract

Lower extremity peripheral nerve blocks are applications that can significantly reduce mortality and morbidity, especially orthopedic surgical procedures. These applications have less complication than neuroaxial block and general an-esthesia. They are frequently used because of the need to provide effective post-operative analgesia and to accelerate patient mobilizations. In this case report, the patient's surgery was completed using the lumbar plexus block safely. A 78-year-old male patient was admitted to the department of orthopedics due to the left femur fracture. Preoperative evaluation of the patient revealed that he had Alzheimer's Disease, acute bronchitis diagnosed by chest diseases, hypertension, cardiac arrhyth-mia, Diabetes Mellutus diagnosis and treatment. In this case report, a lumbar plexus block was applied as anesthesia to the patient to be treated by geriatric hip surgery according to American Society of Anesthesiologists ASA 4 classification. The lomber plexus block provided effective analgesia for patient during operation. During the op-eration, the hemodynamics remained stable and safe anesthesia was achieved. The high ASA of the patient was found to be risky for both general and spinal anesthesia. Therefore, we think that peripheral blocks are safer than other anesthesia methods in geriatric patients and orthopedic surgeries.

Keywords

• lomber plexus block
• geriatric hip surgery
• orthopedic surgery
• lomber pleksus bloğu
• geriatrik kalça cerrahisi
• ortopedik cerrahi