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Combined Psoas Compartment and Sciatic Nerve Block for Lower Limb Surgery: An Alternative Anesthetic Option in High‑risk Geriatric Patients


Affiliations
1 Department of Anaesthesiology, Sant Parmanand Hospital, Civil Lines, India
2 Department of Anaesthesiology, Max Super Specialty Hospital, Saket, New Delhi, India
 

Reported is a case series of high risk geriatric patients with multiple co‑morbidities presenting for lower limb orthopaedic surgeries. Combined psoas compartment and sciatic nerve block proved useful as an alternative anaesthetic technique to central neuraxial blockade and general anaesthesia. We recommend the use of these peripheral nerve blocks as the sole anaesthetic option for lower limb surgeries in the emerging phase of easy accessibility of peripheral nerve stimulator and ultrasound in the operation theatres.

Keywords

Geriatric patients, psoas compartment, sciatic nerve block
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  • Combined Psoas Compartment and Sciatic Nerve Block for Lower Limb Surgery: An Alternative Anesthetic Option in High‑risk Geriatric Patients

Abstract Views: 137  |  PDF Views: 89

Authors

Sunny Malik
Department of Anaesthesiology, Sant Parmanand Hospital, Civil Lines, India
Deepak Krishna
Department of Anaesthesiology, Sant Parmanand Hospital, Civil Lines, India
Shraddha Malik
Department of Anaesthesiology, Max Super Specialty Hospital, Saket, New Delhi, India

Abstract


Reported is a case series of high risk geriatric patients with multiple co‑morbidities presenting for lower limb orthopaedic surgeries. Combined psoas compartment and sciatic nerve block proved useful as an alternative anaesthetic technique to central neuraxial blockade and general anaesthesia. We recommend the use of these peripheral nerve blocks as the sole anaesthetic option for lower limb surgeries in the emerging phase of easy accessibility of peripheral nerve stimulator and ultrasound in the operation theatres.

Keywords


Geriatric patients, psoas compartment, sciatic nerve block