Key result
Bedside ultrasound detects aortic stenosis and hypovolemia, guiding individualized anesthesia without surgical delay.
Why the study?
The role of bedside ultrasound by the anesthesiologist to individualize anesthetic approach without delaying femur fracture surgery in elderly patients was explored.
Case Report (n=1)
Bedside ultrasound by anesthesiologists can identify critical cardiovascular conditions in elderly patients with femur fractures, allowing for tailored anesthetic techniques without delaying surgery.
Answers are grounded in this paper and cite their sources.
May support tailored anesthesia in high-risk elderly fracture patients; hypothesis-generating and requires prospective validation before practice change.
Objective The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly. Case report Female patient, 86 years old, hypertensive, victim of trochanteric fracture of the femur, taken to the operating room after being released by cardiology service. A bedside ultrasound exam allowed the identification of aortic stenosis, left ventricular hypertrophy, carotid stenosis, and signs of hypovolemia. From these findings, it was decided to use an ultrasound-guided block of the nerves femoral and lateral cutaneous of the thigh as an anesthetic technique. Conclusions The use of ultrasound guidance by the anesthesiologist can provide relevant information for individualizing the anesthetic technique, without postponing the surgical intervention, which usually occurs when the patient is referred for complete examination by the specialist.
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Cruvinel et al. (2019) conducted a case report in Trochanteric fracture of the femur (n=1). Bedside ultrasound exam by the anesthesiologist was evaluated on Identification of specific conditions leading to individualized anesthetic technique. Bedside ultrasound by the anesthesiologist identified aortic stenosis and hypovolemia in an 86-year-old female with a femur fracture, allowing individualized anesthesia without surgical delay.
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