Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case report
Background: Hip fractures are associated with significant morbidity and mortality in the elderly and optimal pain control is essential in improving postoperative outcomes. The sensory innervation of the hip is complex, and blocking the hip branches of the femoral, obturator and sciatic nerves is nec...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-01-01
|
| Series: | Proceedings of Singapore Healthcare |
| Online Access: | https://doi.org/10.1177/20101058241230182 |
| _version_ | 1797332457706487808 |
|---|---|
| author | Natesha Eusoof Angullia Elizabeth Sein Jieh Tan |
| author_facet | Natesha Eusoof Angullia Elizabeth Sein Jieh Tan |
| author_sort | Natesha Eusoof Angullia |
| collection | DOAJ |
| description | Background: Hip fractures are associated with significant morbidity and mortality in the elderly and optimal pain control is essential in improving postoperative outcomes. The sensory innervation of the hip is complex, and blocking the hip branches of the femoral, obturator and sciatic nerves is necessary to provide full sensory coverage of the hip joint. Objectives: This case report describes the use of a combination of three regional anesthesia techniques – caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block – in hip fracture surgery, and demonstrates its efficacy in minimizing pain and opioid requirements in a high cardiac risk geriatric patient. Results: Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve blocks were performed in a patient presenting for hip fracture surgery prior to general anaesthesia successfully without the need for further doses of opioids post operatively |
| first_indexed | 2024-03-08T07:50:12Z |
| format | Article |
| id | doaj.art-c79f804efc944407ae60aabe30040f70 |
| institution | Directory Open Access Journal |
| issn | 2059-2329 |
| language | English |
| last_indexed | 2024-03-08T07:50:12Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Proceedings of Singapore Healthcare |
| spelling | doaj.art-c79f804efc944407ae60aabe30040f702024-02-02T15:03:24ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292024-01-013310.1177/20101058241230182Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case reportNatesha Eusoof AngulliaElizabeth Sein Jieh TanBackground: Hip fractures are associated with significant morbidity and mortality in the elderly and optimal pain control is essential in improving postoperative outcomes. The sensory innervation of the hip is complex, and blocking the hip branches of the femoral, obturator and sciatic nerves is necessary to provide full sensory coverage of the hip joint. Objectives: This case report describes the use of a combination of three regional anesthesia techniques – caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block – in hip fracture surgery, and demonstrates its efficacy in minimizing pain and opioid requirements in a high cardiac risk geriatric patient. Results: Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve blocks were performed in a patient presenting for hip fracture surgery prior to general anaesthesia successfully without the need for further doses of opioids post operativelyhttps://doi.org/10.1177/20101058241230182 |
| spellingShingle | Natesha Eusoof Angullia Elizabeth Sein Jieh Tan Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case report Proceedings of Singapore Healthcare |
| title | Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case report |
| title_full | Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case report |
| title_fullStr | Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case report |
| title_full_unstemmed | Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case report |
| title_short | Caudal epidural, pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery: A case report |
| title_sort | caudal epidural pericapsular nerve group block and lateral femoral cutaneous nerve block in hip fracture surgery a case report |
| url | https://doi.org/10.1177/20101058241230182 |
| work_keys_str_mv | AT nateshaeusoofangullia caudalepiduralpericapsularnervegroupblockandlateralfemoralcutaneousnerveblockinhipfracturesurgeryacasereport AT elizabethseinjiehtan caudalepiduralpericapsularnervegroupblockandlateralfemoralcutaneousnerveblockinhipfracturesurgeryacasereport |