Multi-regional anesthesia for ulnar fracture and iliac crest bone graft harvesting in a patient with severe aortic stenosis: a case report

• 영문명: Multi-regional anesthesia for ulnar fracture and iliac crest bone graft harvesting in a patient with severe aortic stenosis: a case report
• 발행기관: 조선대학교 의학연구원
• 저자명: Yujin Pak Sujin Baek Minhae Bang Hoseop Kim Yumin Jo Chahyun Oh Boohwi Hong
• 간행물 정보: 『Medical Biological Science and Engineering』제6권 제1호, 47~51쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2023.01.31

영문 초록

Regional anesthesia has become an alternative to general anesthesia in patients with risk factors that may cause perioperative complications. The transversalis fascial plane block (TFPB) is a useful regional technique for blocking the ilioinguinal and iliohypogastric nerves. An 87-year old female patient with symptomatic severe aortic stenosis was scheduled to undergo open reduction and fixation with an autogenous iliac crest bone graft (ICBG) for the nonunion of the proximal shaft of an ulnar fracture. General anesthesia was avoided due to cardiac comorbidities; therefore, regional anesthesia was considered. ICBG can be performed under spinal anesthesia. However, we performed TFPB since severe aortic stenosis is a contraindication for spinal anesthesia. A brachial plexus block was performed for the primary forearm surgical site. The surgery proceeded safely without any hemodynamic compromise or special events. TFPB for ICBG can be a useful alternative in patients with severe cardiac comorbidities to avoid perioperative risks.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

ACKNOWLEDGMENTS

CONFLICT OF INTEREST

REFERENCES

키워드

Aortic valve stenosis Bone graft Comorbidity Iliac crest bone Regional anesthesia Transversalis fascia