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Lumbar Plexus Block for Management of Hip Surgeries

BACKGROUND: Lumbar plexus block (LPB) is one of the anesthetic options in the elderly patients undergoing hip surgeries. LPB could be safe because it targets somatic nerve in psoas region. Effectiveness of LPB is attributed to the sufficient analgesia provided intraoperatively as well as postoperati...

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Autores principales: Amiri, Hamid Reza, Zamani, Mohammad Mahdi, Safari, Saeid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4183079/
https://www.ncbi.nlm.nih.gov/pubmed/25289374
http://dx.doi.org/10.5812/aapm.19407
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author Amiri, Hamid Reza
Zamani, Mohammad Mahdi
Safari, Saeid
author_facet Amiri, Hamid Reza
Zamani, Mohammad Mahdi
Safari, Saeid
author_sort Amiri, Hamid Reza
collection PubMed
description BACKGROUND: Lumbar plexus block (LPB) is one of the anesthetic options in the elderly patients undergoing hip surgeries. LPB could be safe because it targets somatic nerve in psoas region. Effectiveness of LPB is attributed to the sufficient analgesia provided intraoperatively as well as postoperatively. Adequate muscle relaxation and immobility during surgery refers to its acceptability. OBJECTIVES: In this study, LPB was used as the anesthetic method to manage the elderly patients subjected to hip surgery. PATIENTS AND METHODS: A total of 50 patients aged 51 to 100 years were enrolled in this study. LPB was accomplished after a mild sedation and with a modified method using patient's fingertip width (FTW) as the distance unit to determine needle entry point under electrical nerve stimulation assistance. After targeted injection, procedure time, establishment time, block duration, surgery time, hemodynamic variables, and surgeon satisfaction score were documented and analyzed. Propofol in trivial doses was infused intraoperatively to provide clinical sedation. RESULTS: Mean patient's age was 73 ± 12 years with ASA II/III. Procedure time was 5.65 ± 1.24 minutes, establishment time was 130 ± 36 seconds, block duration was 13.1 ± 8 hours, surgery time was 149.7 ± 32.2 minutes, and surgeon satisfaction score was 9.8 ± 0.1. There was no complication and no failure. Hemodynamic stability was pleasantly achieved. CONCLUSIONS: By preserving hemodynamic stability, LPB in conjunction with a light sedation could be considered as a reliable prudent satisfying anesthetic option in management of hip fractures in the elderly patients with three beneficial characteristics of safety, effectiveness, and acceptability.
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spelling pubmed-41830792014-10-06 Lumbar Plexus Block for Management of Hip Surgeries Amiri, Hamid Reza Zamani, Mohammad Mahdi Safari, Saeid Anesth Pain Med Research Article BACKGROUND: Lumbar plexus block (LPB) is one of the anesthetic options in the elderly patients undergoing hip surgeries. LPB could be safe because it targets somatic nerve in psoas region. Effectiveness of LPB is attributed to the sufficient analgesia provided intraoperatively as well as postoperatively. Adequate muscle relaxation and immobility during surgery refers to its acceptability. OBJECTIVES: In this study, LPB was used as the anesthetic method to manage the elderly patients subjected to hip surgery. PATIENTS AND METHODS: A total of 50 patients aged 51 to 100 years were enrolled in this study. LPB was accomplished after a mild sedation and with a modified method using patient's fingertip width (FTW) as the distance unit to determine needle entry point under electrical nerve stimulation assistance. After targeted injection, procedure time, establishment time, block duration, surgery time, hemodynamic variables, and surgeon satisfaction score were documented and analyzed. Propofol in trivial doses was infused intraoperatively to provide clinical sedation. RESULTS: Mean patient's age was 73 ± 12 years with ASA II/III. Procedure time was 5.65 ± 1.24 minutes, establishment time was 130 ± 36 seconds, block duration was 13.1 ± 8 hours, surgery time was 149.7 ± 32.2 minutes, and surgeon satisfaction score was 9.8 ± 0.1. There was no complication and no failure. Hemodynamic stability was pleasantly achieved. CONCLUSIONS: By preserving hemodynamic stability, LPB in conjunction with a light sedation could be considered as a reliable prudent satisfying anesthetic option in management of hip fractures in the elderly patients with three beneficial characteristics of safety, effectiveness, and acceptability. Kowsar 2014-07-08 /pmc/articles/PMC4183079/ /pubmed/25289374 http://dx.doi.org/10.5812/aapm.19407 Text en Copyright © 2014, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM); Published by Kowsar Corp. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Amiri, Hamid Reza
Zamani, Mohammad Mahdi
Safari, Saeid
Lumbar Plexus Block for Management of Hip Surgeries
title Lumbar Plexus Block for Management of Hip Surgeries
title_full Lumbar Plexus Block for Management of Hip Surgeries
title_fullStr Lumbar Plexus Block for Management of Hip Surgeries
title_full_unstemmed Lumbar Plexus Block for Management of Hip Surgeries
title_short Lumbar Plexus Block for Management of Hip Surgeries
title_sort lumbar plexus block for management of hip surgeries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4183079/
https://www.ncbi.nlm.nih.gov/pubmed/25289374
http://dx.doi.org/10.5812/aapm.19407
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