[Combined posterior lumbar plexus and sacral block for emergency surgery to treat hip fracture].
Ultrasound-guided peripheral nerve blocks are being used more widely in modern anesthesiology, yet spinal anesthesia remains the most commonly used technique for lower limb surgery in general and for hip fracture in particular. A combined lumbar plexus and sacral block may provide an alternative to other local and regional anesthetic techniques in special situations such as the treatment of patients with serious concomitant disease who are on treatment that affects platelet aggregation. We report 2 cases in which patients underwent emergency surgery for hip fracture. Patient histories included serious heart and lung conditions, double antiplatelet therapy, risk factors for difficult airway, and intracranial hypertension. The aforementioned nerve block provided appropriate conditions for surgery, hemodynamic stability, and postoperative analgesia without complications.
Laguillo Cadenas
J L
JL
Servicio de Anestesiología y Reanimación, Hospital Universitario de Valme, Sevilla. joseluislaguillo@hotmail.com
Martínez Navas
A
A
de la Tabla González
R Ortiz
RO
Ramos Curado
P
P
Echevarría Moreno
M
M
D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage; D015897:Comorbidity; D004630:Emergencies; D005593:Fracture Fixation, Internal; D006439:Hemodynamics; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008160:Lumbosacral Plexus; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control; D018084:Ultrasonography, Interventional
D000779:Anesthetics, Local