மயக்க மருந்து & மருத்துவ ஆராய்ச்சி
திறந்த அணுகல்

சுருக்கம்

Nerve Stimulator Guided Combined Lumbar and Sacral Plexus Blockade in a Geriatric Patient with Aortic Stenosis

Shiladitya Bose

Administering anaesthesia to patients with preexisting cardiac disease is an interesting challenges especially those with valvular heart disease. Aortic Stenosis (AS) is an important valvular lesion in anesthesia as patients are at an increased risk of perioperative cardiac events but they can undergo non-cardiac surgery relatively safely provided that the condition is recognized and appropriate monitoring and management is put in place, such as prevention of hypotension and any hemodynamic change that will decrease cardiac output. Traditionally, neuraxial blockade has been contraindicated in these patients because of sudden and potentially profound decrease in systemic vascular resistance which may precipitate life-threatening compromise in coronary perfusion. Peripheral nerve blocks may provide ideal perioperative analgesia for these patients because they are not associated with hemodynamic instability or depression of pulmonary function. We hereby report the use of a PNS guided combined lumbar and sacral plexus block for reduction of hip fracture in an elderly patient with aortic stenosis.