Combined Lumbar and Sacral Plexus Block in an Elderly Patient with Coronary Artery Disease for Unilateral Total Hip Replacement as a Sole Anaesthetic

Peripheral nerve plexus blocks have replaced general and neuraxial anaesthesia as the preferred method of anaesthesia for single-limb procedures. The present case report aimed to assess the effectiveness of combined peripheral nerve blocks (PNBs) as the sole anaesthetic option intraoperatively as well as for postoperative pain relief for total hip replacement in elderly patients with comorbidities, as it maintains hemodynamic stability, avoids complications associated with general anaesthesia and neuraxial anaesthesia, improves postoperative analgesia, and reduces the incidence of perioperative MI. This is a case report of a 69-year-old elderly male with hypertension and coronary artery disease who underwent left total hip replacement with continuous combined lumbar and sacral plexus blocks. Thus, to conclude, it was found that combined lumbar and sacral plexus nerve block with sedation provides adequate surgical anaesthesia intraoperatively and postoperative analgesia for unilateral hip surgeries without affecting haemodynamics.