Combined lumbar and sacral plexus block in geriatric high-risk patients undergoing an awake repair of fracture intertrochanteric of femur

Abstract

The geriatric population with its multiple comorbid conditions are at risk of developing anesthesia-related complications. Data are inconclusive as to whether a general anesthesia , epidural or spinal (regional) anesthesia improves outcomes after hip fracture surgery. The author ( S M D ) subjected all ASA grade 3 and 4 intertrochanteric fractures to lumbosacral plexus block. Intraoperative haemodynamic stability was a key feature in all the patients which reflected in a stable postoperative scenario. The positive outcome, early patient – relative interaction and day 2 assisted mobility of the patient lead to an increase in demand for lumbosacral plexus block in high risk geriartrics with intertrochanteric fractures. Keywords: Fractures of intertrochanteric, local anesthesia, lumbar plexus block, nerve block, post-operative pain relief, sacral plexus block.