Regional anesthesia in a patient with multiple trauma, advanced age and multiple comorbidities

ŞAHAP M., GÜLEÇ H., BUT A., Gulec S., Ozcan A. D.

ANAESTHESIA PAIN & INTENSIVE CARE, vol.25, no.2, pp.222-224, 2021 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 2
  • Publication Date: 2021
  • Doi Number: 10.35975/apic.v25i2.1475
  • Journal Name: ANAESTHESIA PAIN & INTENSIVE CARE
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE, Directory of Open Access Journals
  • Page Numbers: pp.222-224
  • Keywords: Advanced age, Trauma, Spinal anesthesia, Infraclavicular block, HIP FRACTURE, MORTALITY
  • Ankara University Affiliated: Yes

Abstract

The higher incidence of comorbidities in advanced age causes difficulties in anesthesia management. When choosing the anesthesia technique in old aged patients, our target must be to avoid aggravating the existing systemic diseases and avoid disturbing the hemodynamics to ensure their rapid return to routine life. In this case report, we present our choice of infraclavicular nerve block accompanied with spinal anesthesia in a patient with advanced age and several comorbidities, who sustained multiple trauma. The surgery of the patient was successfully performed with minimal effects on the hemodynamics, and he was transferred to the clinic. We stress careful selection of the most appropriate anesthesia technique according to the existing state of the patient, and opting for appropriate nerve blocks even to the patients with respiratory problems.