Semispinal anesthesia in elderly patient with high risk

In this case report, we aimed to present a semi-spinal anesthesia procedure with low dose heavy bupivacaine and opioid, after femoral block in a high-risk patient who underwent surgery for femoral neck fracture.

📌 3 Key Takeaways

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Objective & Hypothesis:The majority of patients who undergoes lower extremity surgery are elder patients with higher risks.

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Key Findings & Data:In these patients, regional anesthesia is usually preferred to general anesthesia however with this technique the risk of hypotension and bradycardia increases.

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Conclusion & Impact:In this case report, we aimed to present a semi-spinal anesthesia procedure with low dose heavy bupivacaine and opioid, after femoral block in a high-risk patient who underwent surgery for femoral neck fracture.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

The majority of patients who undergoes lower extremity surgery are elder patients with higher risks. In these patients, regional anesthesia is usually preferred to general anesthesia however with this technique the risk of hypotension and bradycardia increases. The position of spinal anesthesia might also provoke pain. The intravenous analgesic agents applied before the procedure or regional anesthesia might improve patient comfort. In this case report, we aimed to present a semi-spinal anesthesia procedure with low dose heavy bupivacaine and opioid, after femoral block in a high-risk patient who underwent surgery for femoral neck fracture.

Özet

Alt ekstremite ameliyatı geçiren hastaların çoğunluğu daha yüksek risk taşıyan yaşlı hastalardır. Bu hastalarda bölgesel anestezi genel anesteziye tercih edilir, ancak bu teknikle hipotansiyon ve bradikardi riski artar. Spinal anestezi pozisyonu da ağrıya neden olabilir. İşlem öncesi veya bölgesel anestezi ile uygulanan intravenöz analjezik ajanlar hasta konforunu arttırmaktadır. Bu olgu sunumunda, femur boynu kırığı nedeniyle cerrahi uygulanan yüksek riskli bir hastada femoral blok sonrası, düşük doz heavy bupivakain ve opioid ile yarı-spinal anestezi prosedürünü sunmayı amaçladık.

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Cite This Article

TUTAL, Z. B., DERELİ, N., BABAYİĞİT, M., ŞAHAP, M., GÜLEÇ, H., HORASANLI, E. (2018). Semispinal anesthesia in elderly patient with high risk. Bakırköy Tıp Dergisi, Cilt: 14 - Sayı: 1, 151–154. https://ajindex.com/articles/128067

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