[Psoas compartment block for surgery of the femoral neck (trochanteric) fracture in a patient with severe heart failure due to rheumatoid myocarditis].
A 72-year-old female with severe heart failure due to rheumatoid myocarditis underwent open reduction of the left femoral neck (trochanteric) fracture. We performed psoas compartment block (PCB) at L3/4 level in the lateral position with the fractured side up, using a 22 G Tuohy needle to inject 10 ml of normal saline and 20 ml of 2% mepivacaine. Anesthesia was maintained with propofol (1-2 mg.kg-1.hr-1) under spontaneous breathing with oxygen (2 l.min-1) through mask. The patient did favorably during and after the operation. We conclude that PCB is useful for surgery of the lower extremity in patients with heart failure.
Tanaka
Y
Y
Department of Anesthesia, Hashimoto Municipal Hospital.
Negoro
T
T
D000368:Aged; D000767:Anesthesia, Epidural; D016292:Procedural Sedation; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D015742:Propofol / Q000008:administration & dosage; D016658:Psoas Muscles; D012214:Rheumatic Heart Disease / Q000150:complications*; D012720:Severity of Illness Index
D015742:Propofol