scholarly journals A high-risk patients with multiple peripheral nerve block in the application of ultrasound guidance

2012 ◽  
Vol 24 (2) ◽  
pp. 90-92
Author(s):  
Mustafa Ciftcioglu ◽  
Sertan Acar ◽  
Yavuz Gurkan ◽  
Mine Solak ◽  
Kamil Toker
Keyword(s):  
High Risk ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Ultrasound Guidance ◽  
Peripheral Nerve Block ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Popliteal Nerve Block as an Alternative to Spinal Anaesthesia for Ankle Surgery in Comorbid Patient- A Case Report

2021 ◽  
Author(s):  
Priya Kishnani ◽  
Dharmishthaben Chakarani ◽  
Jigisha Mehta ◽  
Malini Mehta
Keyword(s):  
Case Report ◽  
High Risk ◽  
Peripheral Nerve ◽  
General Anaesthesia ◽  
Nerve Block ◽  
Nerve Blocks ◽  
Neuraxial Blockade ◽  
High Risk Patients ◽  
Neuraxial Block ◽  
Risk Patients

In high-risk patients with significant cardiovascular and other systemic disorders, administration of central neuraxial block or general anaesthesia is usually associated with adverse haemodynamic effects and high perioperative mortality. This case report is about a 57-year-old male patient with known case of Diabetes Mellitus (DM) posted for lower limb debridement. He had comorbidities like cellulitis, sepsis, uncontrolled diabetes, multiorgan dysfunction and was haemodynamically unstable. Peripheral nerve blockade keeps the haemodynamic more stable as compared to central neuraxial blockade and general anaesthesia. Therefore, popliteal nerve block was given to the patient in prone position. Peripheral nerve locator was used and after eliciting the response of foot twitch local anaesthetic drug was deposited. Adequate sensory motor block was achieved and surgery was carried out uneventfully. Patient was vitally stable throughout the surgery. Thus, it was seen that peripheral nerve blocks are an effective alternative to central neuraxial blockade and general anaesthesia in high risk patients undergoing below knee surgeries.

55: Thoracic paravertebral nerve block as the sole anaesthesia for open cholecystectomy in high risk patients

2007 ◽  
Vol 32 (5) ◽  
pp. 118-118
Author(s):  
I SERPETINIS ◽  
E LYKOUDI ◽  
K AVGERINOS ◽  
D LYTRAS ◽  
C DERVENIS ◽  
...  
Keyword(s):  
High Risk ◽  
Nerve Block ◽  
Open Cholecystectomy ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Peripheral nerve blocks for above knee amputation in high-risk patients

2018 ◽  
Vol 34 (4) ◽  
pp. 458 ◽  
Author(s):  
ZhiYuen Beh ◽  
Rajkumar Chandran ◽  
FungChen Tsai ◽  
SuranDhanushka Kuruppu ◽  
JiaYin Lim
Keyword(s):  
High Risk ◽  
Peripheral Nerve ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
High Risk Patients ◽  
Knee Amputation ◽  
Risk Patients

scholarly journals The selection of best anesthesiological technique for hip fracture surgery in older high-risk patients

2012 ◽  
Vol 59 (3) ◽  
pp. 113-115 ◽  
Author(s):  
Nevenka Radic ◽  
Kristina Radinovic ◽  
Mihailo Ille ◽  
Aleksandar Lesic ◽  
Mirjana Ljubicic-Stojanovic ◽  
...  
Keyword(s):  
Hip Fracture ◽  
High Risk ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Pathological Condition ◽  
Older Age ◽  
Spontaneous Respiration ◽  
Nerve Blocks ◽  
Selection Of

Introduction: Hip fracture is a pathological condition, more common in older age, i.e. in people over 65 years. The prevalence of this disorder is continuously increasing, simultaneously with higher age limit. In evaluation of risk for operation and anesthesia, older age itself represents higher risk and calls for special attention. In selection of anesthesiological technique, it is more usual to apply neuroaxial block or peripheral nerve block, which is more advantageous over general anesthesia. CASE REPORT: A female, 80-year old, patient B.D. was admitted to hospital for hip fracture, with the diagnosis of the right, lateral, basicervical femoral fracture. On admission, heart decompensation (decompensated dilated myocardiopathy), pulmonary edema and the left lateral pleural effusion were established. Due to high risk (ASA III) of intraoperative and postoperative complications, it was decided to apply combined peripheral nerve block. Using the neurostimulators, 3-in-1 block, lumbosacral block and sciatic nerve block were applied. During the operation, the patient was sedated by Propofol and had spontaneous respiration through the laryngeal mask. Intra- and postoperatively, the patient?s hemodynamics was stable. Conclusion: Peripheral nerve blocks are safe and effective anesthesiological technique, which may reduce the mortality in patients with the hip fracture and maintain the hemodynamic stability, both during and after the surgical intervention.

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