Key result
A combined lumbosacral plexus block provided intraoperative haemodynamic stability and resulted in an uneventful recovery for all 50 high-risk geriatric patients undergoing awake repair of intertrochanteric femur fractures.
Why the study?
Does lumbosacral plexus block provide haemodynamic stability and early mobility in high-risk geriatric patients undergoing intertrochanteric fracture repair?
Case Report (n=50)
No
Does lumbosacral plexus block provide haemodynamic stability and early mobility in high-risk geriatric patients undergoing intertrochanteric fracture repair?
Lumbosacral plexus block may offer a safe anesthetic alternative providing hemodynamic stability and early mobility for high-risk geriatric patients undergoing hip fracture surgery.
Answers are grounded in this paper and cite their sources.
May support plexus block for stability in frail hip fracture patients; leaves open comparative efficacy versus standard anesthesia.
The geriatric population with its multiple comorbid conditions are at risk of developing anesthesia-related complications. Data are inconclusive as to whether a general anesthesia , epidural or spinal (regional) anesthesia improves outcomes after hip fracture surgery. The author ( S M D ) subjected all ASA grade 3 and 4 intertrochanteric fractures to lumbosacral plexus block. Intraoperative haemodynamic stability was a key feature in all the patients which reflected in a stable postoperative scenario. The positive outcome, early patient – relative interaction and day 2 assisted mobility of the patient lead to an increase in demand for lumbosacral plexus block in high risk geriartrics with intertrochanteric fractures.
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Diwan et al. (2018) conducted a case report in Intertrochanteric femur fracture (n=50). Combined lumbosacral plexus block (LSPB) was evaluated on Uneventful recovery and intraoperative haemodynamic stability. A combined lumbosacral plexus block provided intraoperative haemodynamic stability and resulted in an uneventful recovery for all 50 high-risk geriatric patients undergoing awake repair of intertrochanteric femur fractures.
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