Epidural anesthesia and ultrasound-guided femoral nerve block in a patient with femur shaft fracture receiving combined anticoagulant treatment

  • Ilke Kupeli Department of Anesthesiology and Reanimation, Mengucek Gazi Training & Research Hospital, Erzincan, (Turkey)
  • Seckin Ozcan Department of Orthopedics & Traumatology, Erzincan University, Erzincan, (Turkey)
  • Zehra Bedir Department of Anesthesiology and Reanimation, Mengucek Gazi Training & Research Hospital, Erzincan, (Turkey)
  • Ceren Karakurt Department of Anesthesiology and Reanimation, Mengucek Gazi Training & Research Hospital, Erzincan, (Turkey)
Keywords: Anticoagulants, Hematoma, Epidural, Spinal; Hematoma, Subdural, Anesthesia, Conduction, Anesthesia and Analgesia, Anesthesia, Local, Nerve Block, Anesthesia, Spinal, Anesthesia, Epidural

Abstract

With an ever increasing ratio of advanced age and cardiovascular disease in the population the anesthesiologists often come across patients for elective and emergency surgery, who are on one or multiple anticoagulants. Although the use of regional techniques is a preferred choice of anesthesia in suitable patients, some anesthesiologists prefer combing regional with general anesthesia and/or peripheral nerve blocks. Traditionally patients on anticoagulants have been opted out of regional or nerve block analgesia for fear of hematoma formation, but the recent upsurge in the use of ultrasound has increased the precision in the procedures and the confidence in the performers. This report describes the case of an old lady for lower limb surgery, who was on multiple anticoagulants, and she was successfully anesthetized using combined techniques.

 

Published
01-23-2019
How to Cite
Kupeli, I., Ozcan, S., Bedir, Z., & Karakurt, C. (2019). Epidural anesthesia and ultrasound-guided femoral nerve block in a patient with femur shaft fracture receiving combined anticoagulant treatment. Anaesthesia, Pain & Intensive Care, 65-67. Retrieved from https://apicareonline.com/index.php/APIC/article/view/229
Section
Case Reports