Combined Lumbar-Sacral Plexus Block in High Surgical Risk Geriatric Patients undergoing Early Hip Fracture Surgery
Journal Title: Malaysian Orthopaedic Journal - Year 2015, Vol 9, Issue 3
Abstract
Objective: To evaluate the postoperative outcome after using combined lumbar and sacral plexus block (CLSB), as a sole anesthetic method in hip fracture (HF) surgery in highrisk geriatric patients. Materials and Methods: A single-center retrospective study was conducted, between 2010 and 2012, on 70 elderly HF patients with American Society of Anesthesiologists grading III-IV who underwent early surgical intervention with our CLSB protocol. Perioperative data, outcome, and complications were recorded. Results: Forty-eight patients (69%) had ongoing anticoagulant medication. Postoperatively, all patients were hemodynamically stable and awake. None of them required general anesthesia conversion. Minor anesthetic-related complications were found in nine patients. One patient (1%) died from sepsis due to pneumonia. Patients’ satisfactions were all rated as very good or excellent. Conclusion: CLSB is an interesting anesthetic option in HF surgery, especially in high surgical risk geriatric patients. This method offers an excellent clinical efficiency and high patients’ satisfaction without serious complications.
Authors and Affiliations
Petchara S, Paphon S, Vanlapa A, Boontikar P, Disya K
Keywords
Related Articles
- EP ID EP308319
- DOI 10.5704/MOJ.1511.004
- Views 87
- Downloads 0
Intra-articular Hyaluronic Acid (HA) and Platelet Rich Plasma (PRP) injection versus Hyaluronic acid (HA) injection alone in Patients with Grade III and IV Knee Osteoarthritis (OA): A Retrospective Study on Functional Outcome
Introduction: Intra-articular hyaluronic acid (HA) is widely utilized in the treatment of knee osteoarthritis whereas platelet rich plasma (PRP) enhances the regeneration of articular cartilage. This study analyses the e...
Experiences of Orthopaedic Camp in a Mobile Surgical Unit (Life Line Express) in Central Part of India
We present our experience organizing an orthopaedic camp in rural part of India in a mobile surgical unit (Life Line Express) on a train. The camp was held for 15 days from 25th may to 10th June 2009. We performed deform...
Pediatric Orthopedics: A System of Decision-Making
The chapters are uniquely set to cover almost the whole gamut of pediatric orthopedic conditions. The presentation style is crisp and concise, with clear, self explanatory illustrations (mostly drawn by B Joseph himself)...
A Computer Navigation System Analysis of the Accuracy of the Extramedullary (Tibial) Alignment Technique in Total Knee Arthroplasty (TKA)
In total knee arthroplasty, mechanical alignment guides have improved the accuracy of implant alignment, but errors are not uncommon. In the present study, an image-free computer-assisted navigation system was used to an...
A Study on the Absence of Palmaris Longus in a Multi-racial Population
Palmaris longus is a dispensable muscle with a long tendon which is very useful in reconstructive surgery. It is absent 2.8 to 24% of the population depending on the race/ethnicity studied. Four hundred and fifty healthy...