Tuzcu, Kasım Mustafa Kemal University - School of Medicine - Department of Anesthesiology and Reanimation, Turkey , Gökahmetoğlu, Günhan Kayseri Training and Research Hospital - Clinic of Anesthesiology and Reanimation, Turkey , Silay, Emin Sütçü İmam University - School of Medicine - Department of Anesthesiology and Reanimation, Turkey , Canpolat, Halis Kayseri Training and Research Hospital - Clinic of Anesthesiology and Reanimation, Turkey

Our anesthesia experiences with geriatric patients at high risk group undergoing hip surgery under combined psoas compartment-sciatic nerve block

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Aim. The effect of psoas compartment and sciatic nerve block combination on hemodynamic parameters in high risk geriatric patients with hip fracture surgeries was evaluated. Methods. In this study, high risk old patients who underwent psoas compartment block and sciatic nerve block for hip surgery anesthesia were evaluated retrospectively. In Group 1 there were 14 patients with levobupivacaine and lidocaine combination and in Group 2 there were 10 patients with levobupivacaine and prilocaine combination. In our study we evaluated the heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure levels and sedation need between groups, between age over and below 85 years and in all patients. Results. There were no statistically significant difference in heart rate and mean arterial blood pressure levels between groups and age groups (p˃0.05). There were a 6.18% and 16.52% decrease in mean arterial blood pressure in Group 1 and 2 respectively. When we evaluated the whole patients there was a 10.06% decrease in mean arterial blood pressure. Conclusion. We consider that the combination of psoas and sciatic block as an anesthetic method may be a proper option especially in the elderly and high-risk patients who were underwent the hip surgery.

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Psoas compartment block , geriatrics , hip surgery

Cumhuriyet Medical Journal

356