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Profitable use of femoral nerve block with dexmedetomidine for fracture fixation of an intracapsular fracture of the femoral neck in a affected person with extreme aortic stenosis: a case report.
JA Clin Rep. 2017;three(1):53
Authors: Yamane Y, Omae T, Kou Ok, Sakuraba S
Summary
We described a case during which femoral nerve block (FNB) and lateral femoral cutaneous nerve block (LFCNB) with dexmedetomidine (DEX) was helpful for open discount and inside fixation (ORIF) of a femoral neck fracture in a affected person with extreme aortic stenosis. Cardiac surgical procedure had been advisable however was declined by the affected person. Thus, ORIF was chosen due to the affected person’s concomitant extreme aortic stenosis. The anesthesia methodology used was FNB plus LFCNB with DEX, which achieved enough native anesthesia. DEX was used to keep away from respiratory despair as a result of this affected person has pulmonary hypertension. This affected person had been sedative as much as the tip of surgical procedure. Whole working time was 51 min, and the affected person’s hemodynamics had been steady all through the perioperative interval. There have been no issues. On this case, anesthesia utilizing a nerve block with DEX contributed to the security of noncardiac surgical procedure in a affected person with extreme cardiac illness below conservative therapy in the course of the perioperative interval.
PMID: 29457097 [PubMed]