| Autor: |
Lonardo Coura, re A Galvão, Luiz Eduardo Imbelloni, Jorge Augusto C Santos, Alex |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Journal of Anesthesia & Critical Care: Open Access. 7 |
| ISSN: |
2373-6437 |
| DOI: |
10.15406/jaccoa.2017.07.00257 |
| Popis: |
Introduction Old age population is increasing around the world Femur and hip fractures require surgical treatment We present a case of a patient aged years with a hip fracture and after surgical treatment was sent home in hours Case Report Female years old in Hospital for a correction of a neck fracture of her femur and anaemia Echocardiogram revealed ejection fraction of and a light mitral insufficiency ECG presented sinus bradycardia All other exams were within normal range In the previous day she received two units of hematias and revealed the following results Hm Hb g L and Ht Two hour before the surgery the patient received mL of a meal supplement containing a high power energetic and a high quality protein Lumbar and inguinal plexus block were placed with a neurostimulator HNS and an insulated needle of appropriate length mL of levobupivacaine and mL of lidocaine at with epinephrine were injected The patient was monitored with ECG non invasive arterial pressure and SpO Reposition was placed with crystalloid and hidroxyethilamide at After sedation with mg of midazolam subarachnoid puncture was placed in the sitting position at L L and mg of isobaric bupivacaine were administered Sensory block reached T The procedure was concluded in minutes without any important hemodynamic variation The patient was released home in the morning of the second day lucid oriented and pain free Conclusion This case shows us that with adequate procedures a years old patient can be operated and go back home in two days |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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