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Case reports demonstrate effective pain management after hip fracture surgery using nerve blocks in frail patients, suggesting a viable anesthetic strategy.
Hip fractures in elderly patients are associated with morbidity and mortality, and anesthetic management may be challenging when comorbidities or ongoing antiplatelet/anticoagulant therapy limit the use of general or neuraxial anesthesia. We report two cases of hip fracture fixation performed using a combination of sacral erector spinae plane (ESP) block and Quadro-Iliac Plane (QIP) block under dexmedetomidine sedation with spontaneous ventilation. Both patients reported minimal to no pain for several hours after surgery and only requested and received paracetamol at 12 and 18 hours after surgery.
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Marrone et al. (2026) studied this question.
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