Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Amongst various anesthesia techniques used for management of hip fractures in elderly, lumbar plexus block can prove safer option as it provides good preoperative analgesia and hemodynamic stability by avoiding sympathectomy by just targeting somatic nerves in psoas region. We evaluated efficacy of lumbar plexus block in elderly patients in hip surgery. We enrolled 120 patients in study to receive lumbar plexus block in hip fracture surgeries. We evaluated block characteristics including block execution time, number of pricks, onset and completion of sensory and motor blockade, hemodyanamics and surgeon’s satisfaction score intraoperatively. We had average age of patient 67.43±6.56 years with comparable gender distribution. Block execution time was 4.88±1.16 minutes with most patients requiring single prick. Mean time for onset of sensory block was 3.78±1.25 min and for motor block was 6.55± 1.08. Mean time for sensory block completion was 8.85±1.46 minutes and motor block was 16.13±1.96 min. Average surgeon’s satisfaction score was 16.13±1.96. All patients were stable hemodynamically throughout surgery and no complications reported. Lumbar plexus block can be considered as satisfactory anaesthesia option in elderly requiring surgical intervention for hip fractures as it preserves haemodynamics and provides satisfactory intraoperative condition.
How to cite this article:
Shital Dalal, Sanjivani Diliprao Khandare and Dipakkumar Hiralal Ruparel. An Impact and Outcome of Lumbar Plexus Block in Elderly Patients with Hip Fractures: A Prospective
Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.10.131.136
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.10.131.136