Lumbar plexus combined with sacral plexus nerve block anesthesia in elderly patients undergoing hip surgery.

Abstract

Fractures of hip-related areas are common orthopedic conditions among elderly individuals. Prolonged bed rest can easily lead to life-threatening pulmonary infections, pressure ulcers, lower limb thrombosis, and embolism complications. The most common treatment is hip joint surgery. However, the selection of anesthesia methods for hip surgery in elderly individuals is difficult, these patients often present with multiple comorbidities, including cardiovascular and cerebrovascular diseases. General anesthesia and neuraxial anesthesia often lead to hemodynamic fluctuations and hypotension, increasing the risk of cardiovascular and cerebrovascular diseases. With the advancement of ultrasound visualization technology in anesthesia, lumbar plexus combined with sacral plexus nerve block maintains stable intraoperative hemodynamics and is a good choice for hip joint surgery in elderly patients with various diseases. However, there are significant differences in the clinical application of this method.