Ultrasound-guided “hourglass-pattern” fascia iliac block combined with sacral plexus and gluteal epithelial nerve block for an elderly hip fracture patient with organ failure

Wang, Huiyue; Li, Qianyu; Ni, Yicheng

doi:10.1097/md.0000000000019732

Cited by 3 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Peripheral nerve block is often used as an important supplement and auxiliary means of general anesthesia [ 15 – 17 ]. The anesthetic effect is clear, which can shorten the recovery time, reduce the dosage of general anesthetic, and effectively reduce the incidence rate of related complications.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Radiomics-Guided Iliac Fascia Block on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Hip Surgery

Zha

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

Objective. Elderly patients with hip surgery are prone to postoperative cognitive dysfunction (POCD), leading to health management difficulties. This study is aimed at investigating the effect of ultrasound radiomics-guided iliac fascia block on POCD. Methods. A total of 67 cases of patients who had undergone hip joint surgery were divided into a training set ( n = 47 ) and a validation set (radiomics-guided group, n = 20 ). The patients were intervened with ultrasound radiomics-guided iliac fascia block, and the maximum relevance minimum redundancy sifts out the image omics features obtained from 2D ultrasound images of patients. Another 20 patients undergone general anesthesia served as control. The incidence of POCD, the total amount of fentanyl, the visual analogue score (VAS) at different time points, and the levels of CRP and NSE in plasma were compared between the two groups. Results. The AUC on the training and validation sets were higher than 0.940. The incidence of POCD in the radiomics-guided and general anesthesia group was 5% and 30%, respectively ( P = 0.037 ). Compared with the general anesthesia group, the dosage of fentanyl in the radiomics-guided was lower, the VAS score at 6 h, 1 d, and 2 d after operation was smaller, and the levels of CRP and NSE were lower (all P < 0.05 ). Conclusions. For elderly patients with hip surgery, the ultrasound radiomics-guided iliac fascia block can reduce the incidence of POCD and improve the effect of nerve block.

show abstract

Section: Discussionmentioning

confidence: 99%

Ultrasound Radiomics-Guided Iliac Fascia Block on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Hip Surgery

Zha

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

show abstract

“…Twenty milliliters of 0.33% ropivacaine was used for a left-sided ultrasound-guided interscalene brachial plexus block and 30 mL of 0.33% ropivacaine was used to perform a right-sided “hourglass-pattern” fascia iliaca block. 6 General anesthesia was maintained using a combination of propofol (10 mL/hour), a 0.015 volume-fraction of sevoflurane, and intermittent administration of a muscle relaxant (cisatracurium) and sufentanil, according to changes in hemodynamic parameters and the depth of anesthesia. An autologous blood recovery system was used to protect blood volume during the procedure.…”

Section: Case Reportmentioning

confidence: 99%

Management of anesthesia in a patient with osteogenesis imperfecta and multiple fractures: a case report and review of the literature

Wang

Huang

et al. 2021

J Int Med Res

Self Cite

View full text Add to dashboard Cite

Patients with osteogenesis imperfecta (OI) usually also show osteoporosis and bone fragility. Because these defects may also be combined with an airway that is difficult to manage, abnormal platelet function, and other problems, the perioperative management of anesthesia represents a substantial challenge. Therefore, it is important to be able to predict the risks during the perioperative period and to formulate and implement specific high-quality anesthesia management plans for such patients when they experience trauma. We report the case of a 59-year-old female patient with OI who experienced trauma resulting in fractures of the left proximal humerus and right hip. She required open reduction and internal fixation of her humerus and total hip arthroplasty. However, she also had obstructive sleep apnea syndrome, and an airway assessment indicated that her airway would be difficult to maintain. General anesthesia combined with a nerve block was administered. An ultrasound-guided bilateral superior laryngeal nerve block and cricothyroid membrane puncture were used to facilitate endotracheal intubation. An ultrasound-guided “hourglass-pattern” fascia iliaca block was performed for perioperative analgesia. The use of a regional block and preparation for the difficult airway access represented important and successful aspects of the management of anesthesia in this patient.

show abstract

“…On the basis of the literature, we found that perioperative application of FICB in combination with sacral plexus block (SPB) and superior cluneal nerve block (SCB) has not been studied well, nor has a routine procedure been finalized. 7 The present study aimed to compare the feasibility of ultrasound-guided multiple nerve blocks (FICB+SPB+SCB) with general anesthesia in geriatric hip fracture patients.…”

mentioning

confidence: 99%

“…In our hospital, preliminary studies showed that fascia iliaca compartment block (FICB) could improve the perioperative quality of life in most elderly hip fracture patients, resulting in a requirement for anesthetic optimization. On the basis of the literature, we found that perioperative application of FICB in combination with sacral plexus block (SPB) and superior cluneal nerve block (SCB) has not been studied well, nor has a routine procedure been finalized 7. The present study aimed to compare the feasibility of ultrasound-guided multiple nerve blocks (FICB+SPB+SCB) with general anesthesia in geriatric hip fracture patients.…”

mentioning

confidence: 99%

Ultrasound-guided Multiple Nerve Blocks

Wang

Dai³

et al. 2021

The Clinical Journal of Pain

View full text Add to dashboard Cite

Objectives: The aim was to compare the feasibility of ultrasoundguided multiple nerve blocks (fascia iliaca compartment block+ sacral plexus block+superior cluneal nerve block) with general anesthesia in geriatric hip fracture patients.Methods: Ninety-four patients were randomly divided into 2 groups: group N received ultrasound-guided multiple nerve blocks and group G received general anesthesia. Primary outcome measures included perioperative Pain Threshold Index (PTI) and Numerical Rating Scale. Secondary outcome measures comprised the following: (1) perioperative Delirium Index and Short Portable Mental Status Questionnaire; (2) perioperative Comfort Index; (3) perioperative opioid consumption (within 72 hours postoperatively); and (4) postoperative side effects (within 72 h postoperatively).Results: Eighty-seven patients completed the study. Baseline PTI was comparable between the groups. However, intraoperative PTI was significantly lower in group N than in group G. Preoperative and postoperative Comfort Index scores were comparable between the groups. Moderate delirium (24 to 72 h postoperatively) was significantly higher than the baseline in group G. Early moderate delirium (24 h postoperatively) was significantly higher in group G than in group N. Severe delirium was comparable between the groups and within each group. High intraoperative PTI was associated with high opioid consumption. The intravenous sufentanil dose in group G was twice of that in group N. Incidence of nausea and vomiting was similar between the groups.Discussion: Ultrasound-guided multiple nerve blockade may be an alternative to the common anesthetic procedures used for geriatric hip fracture patients. It provided satisfactory intraoperative pain management and reduced early postoperative cognitive disorders.

show abstract

Ultrasound-guided “hourglass-pattern” fascia iliac block combined with sacral plexus and gluteal epithelial nerve block for an elderly hip fracture patient with organ failure

Cited by 3 publications

References 18 publications

Ultrasound Radiomics-Guided Iliac Fascia Block on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Hip Surgery

Ultrasound Radiomics-Guided Iliac Fascia Block on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Hip Surgery

Management of anesthesia in a patient with osteogenesis imperfecta and multiple fractures: a case report and review of the literature

Ultrasound-guided Multiple Nerve Blocks

Contact Info

Product

Resources

About