Our anesthesia experiences with geriatric patients at high risk group undergoing hip surgery under combined psoas compartment-sciatic nerve block

Aim. The effect of psoas compartment and sciatic nerve block combination on hemodynamic parameters in high risk geriatric patients with hip fracture surgeries was evaluated. Methods. In this study, high risk old patients who underwent psoas compartment block and sciatic nerve block for hip surgery anesthesia were evaluated retrospectively. In Group 1 there were 14 patients with levobupivacaine and lidocaine combination and in Group 2 there were 10 patients with levobupivacaine and prilocaine combination. In our study we evaluated the heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure levels and sedation need between groups, between age over and below 85 years and in all patients. Results. There were no statistically significant difference in heart rate and mean arterial blood pressure levels between groups and age groups (p˃0.05). There were a 6.18% and 16.52% decrease in mean arterial blood pressure in Group 1 and 2 respectively. When we evaluated the whole patients there was a 10.06% decrease in mean arterial blood pressure. Conclusion. We consider that the combination of psoas and sciatic block as an anesthetic method may be a proper option especially in the elderly and high-risk patients who were underwent the hip surgery. Keywords: Psoas compartment block, geriatrics, hip surgery Ozet Amac. Kalca kirigi cerrahisi geciren yuksek risk grubu yasli hastalarda psoas kompartman blogu ve siyatik sinir blok kombinasyonunun hemodinamik parametrelere etkisi arastirildi. Yontem. Bu calismada kalca cerrahisi anestezisi icin psoas kompartman blogu ve siyatik sinir blogu ikilisi yapilan yuksek risk grubu, yasli hastalar retrospektif olarak degerlendirildi. Lokal anestezik olarak levobupivakain ve lidokain kombinasyonu verilen 14 yasli hasta Grup 1 olarak, levobupivakain ve prilokain kombinasyonu verilen 10 yasli hasta Grup 2 olarak adlandirildi. Calismamizda hastalarin tumunde, gruplar arasinda ve 85 yasin ustunde olanlarla altinda olanlarin kalp atim hizi, ortalama kan basinci degerleri ve sedasyon ihtiyaci incelendi. Bulgular. Gruplar arasinda ve yas gruplari arasinda ortalama kan basinci degerleri ve kalp atim hizlari karsilastirildiginda istatiksel olarak anlamli bir fark saptanmadi (p˃0,05). Grup 1’de ortalama kan basincinda %6,18 dusus olurken Grup 2’de %16,52 dusus oldu. Tum hastalar degerlendirildiginde ortalama kan basincinda %10,06 oraninda dusus gozlendi. Sonuc. Kalca cerrahisi uygulanan yasli ve yuksek risk grubu hastalarda anestezik yontem olarak psoas ve siyatik blok kombinasyonunun uygun bir secenek olabilecegini dusunuyoruz. Anahtar sozcukler: Psoas kompartman blogu, geriatri, kalca cerrahisi