Bibliographic Details
| Title: |
An ultrasound-guided modified iliac fascia and sacral plexus block application in a critically ill patient undergoing artificial femoral head replacement surgery: a case report |
| Authors: |
Muyan Shi, Ping Huang, Jie Tian, Ruixin Lin, Xiaoqiang Wang, Qiuyue Lian, Diansan Su, Zhenling Huang |
| Source: |
BMC Anesthesiology, Vol 25, Iss 1, Pp 1-6 (2025) |
| Publisher Information: |
BMC, 2025. |
| Publication Year: |
2025 |
| Collection: |
LCC:Anesthesiology |
| Subject Terms: |
Nerve block, Pain management, Ultrasonography, Analgesia, Case report, Anesthesiology, RD78.3-87.3 |
| More Details: |
Abstract Background Hip fractures have become a significant clinical concern on a global scale in recent years. The burgeoning aging population has exacerbated this issue, leading to a rise in the number of hip fracture cases coupled with concomitant geriatric ailments. Therefore, it poses a huge challenge to anesthesiologists with the increasing number of critically ill patients who are not suitable for general anesthesia and intrathecal anesthesia. Ultrasound-guided nerve blocks combined with sedation have not previously been documented in critically ill patients. Case presentation We administered an ultrasound-guided modified iliac fascia block combined with sacral plexus block to an 88-year-old male patient with a left femoral fracture suffering from severe multi-systemic diseases. Concurrently, the patient received intravenous anesthesia via propofol and dexmedetomidine, with monitoring conducted through bispectral index. Subsequently, the surgery was completed smoothly and the patient demonstrated accelerated postoperative recovery without significant discomfort and a successful discharge. Conclusions This innovative approach significantly contributed to achieving successful surgical anesthesia and postoperative analgesia, thereby facilitating early recovery and discharge from the hospital. We propose that ultrasound-guided nerve blocks with sedation show promise for critically ill patients. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2253 |
| Relation: |
https://doaj.org/toc/1471-2253 |
| DOI: |
10.1186/s12871-025-02969-4 |
| Access URL: |
https://doaj.org/article/f960530f2ca84fabaaa9c10dbf9bdc3d |
| Accession Number: |
edsdoj.f960530f2ca84fabaaa9c10dbf9bdc3d |
| Database: |
Directory of Open Access Journals |
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