title: [The selection of best anesthesiological technique for hip fracture surgery in older high-risk patients].
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors: Nevenka
authors: N
authors: Radić
authors: Kristina
authors: K
authors: Radinović
authors: Mihailo
authors: M
authors: Ille
authors: Aleksandar
authors: A
authors: Lesić
authors: Stojanović Mirjana
authors: SM
authors: Ljubicić
authors: Z Marko
authors: ZM
authors: Bumbasirević
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006620:Hip Fractures / Q000150:complications / Q000601:surgery*; D006801:Humans; D008160:Lumbosacral Plexus; D009407:Nerve Block; D012307:Risk Factors; D012584:Sciatic Nerve