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Importance of preoperative guided ultrasound in patients with femoral fracture: case report

OBJECTIVE: The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly. CASE REPORT: Female pa...

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Autores principales: Cruvinel, Marcos Guilherme Cunha, Carneiro, Fabiano Soares, Bessa Junior, Roberto Cardoso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391765/
https://www.ncbi.nlm.nih.gov/pubmed/30115463
http://dx.doi.org/10.1016/j.bjane.2018.10.005
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author Cruvinel, Marcos Guilherme Cunha
Carneiro, Fabiano Soares
Bessa Junior, Roberto Cardoso
author_facet Cruvinel, Marcos Guilherme Cunha
Carneiro, Fabiano Soares
Bessa Junior, Roberto Cardoso
author_sort Cruvinel, Marcos Guilherme Cunha
collection PubMed
description OBJECTIVE: The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly. CASE REPORT: Female patient, 86 years old, hypertensive, victim of trochanteric fracture of the femur, taken to the operating room after being released by cardiology service. A bedside ultrasound exam allowed the identification of aortic stenosis, left ventricular hypertrophy, carotid stenosis, and signs of hypovolemia. From these findings, it was decided to use an ultrasound-guided block of the nerves femoral and lateral cutaneous of the thigh as an anesthetic technique. CONCLUSIONS: The use of ultrasound guidance by the anesthesiologist can provide relevant information for individualizing the anesthetic technique, without postponing the surgical intervention, which usually occurs when the patient is referred for complete examination by the specialist.
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spelling pubmed-93917652022-08-21 Importance of preoperative guided ultrasound in patients with femoral fracture: case report Cruvinel, Marcos Guilherme Cunha Carneiro, Fabiano Soares Bessa Junior, Roberto Cardoso Braz J Anesthesiol Clinical Information OBJECTIVE: The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly. CASE REPORT: Female patient, 86 years old, hypertensive, victim of trochanteric fracture of the femur, taken to the operating room after being released by cardiology service. A bedside ultrasound exam allowed the identification of aortic stenosis, left ventricular hypertrophy, carotid stenosis, and signs of hypovolemia. From these findings, it was decided to use an ultrasound-guided block of the nerves femoral and lateral cutaneous of the thigh as an anesthetic technique. CONCLUSIONS: The use of ultrasound guidance by the anesthesiologist can provide relevant information for individualizing the anesthetic technique, without postponing the surgical intervention, which usually occurs when the patient is referred for complete examination by the specialist. Elsevier 2019-01-12 /pmc/articles/PMC9391765/ /pubmed/30115463 http://dx.doi.org/10.1016/j.bjane.2018.10.005 Text en © 2018 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Clinical Information
Cruvinel, Marcos Guilherme Cunha
Carneiro, Fabiano Soares
Bessa Junior, Roberto Cardoso
Importance of preoperative guided ultrasound in patients with femoral fracture: case report
title Importance of preoperative guided ultrasound in patients with femoral fracture: case report
title_full Importance of preoperative guided ultrasound in patients with femoral fracture: case report
title_fullStr Importance of preoperative guided ultrasound in patients with femoral fracture: case report
title_full_unstemmed Importance of preoperative guided ultrasound in patients with femoral fracture: case report
title_short Importance of preoperative guided ultrasound in patients with femoral fracture: case report
title_sort importance of preoperative guided ultrasound in patients with femoral fracture: case report
topic Clinical Information
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391765/
https://www.ncbi.nlm.nih.gov/pubmed/30115463
http://dx.doi.org/10.1016/j.bjane.2018.10.005
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