Importance of preoperative guided ultrasound in patients with femoral fracture: case report
Objective: The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly. Case report: Female pa...
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doaj-15e0505062f94c0c8570b21023c660152020-11-25T00:47:42ZengElsevierBrazilian Journal of Anesthesiology0104-00142019-03-01692204207Importance of preoperative guided ultrasound in patients with femoral fracture: case reportMarcos Guilherme Cunha Cruvinel0Fabiano Soares Carneiro1Roberto Cardoso Bessa Junior2Corresponding author.; Hospital Lifecenter, Departamento de Anestesiologia, Belo Horizonte, MG, BrazilHospital Lifecenter, Departamento de Anestesiologia, Belo Horizonte, MG, BrazilHospital Lifecenter, Departamento de Anestesiologia, Belo Horizonte, MG, BrazilObjective: The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly. Case report: Female patient, 86 years old, hypertensive, victim of trochanteric fracture of the femur, taken to the operating room after being released by cardiology service. A bedside ultrasound exam allowed the identification of aortic stenosis, left ventricular hypertrophy, carotid stenosis, and signs of hypovolemia. From these findings, it was decided to use an ultrasound-guided block of the nerves femoral and lateral cutaneous of the thigh as an anesthetic technique. Conclusions: The use of ultrasound guidance by the anesthesiologist can provide relevant information for individualizing the anesthetic technique, without postponing the surgical intervention, which usually occurs when the patient is referred for complete examination by the specialist. Resumo: Objetivo: Exemplificar o papel do emprego da ultrassonografia à beira do leito pelo anestesiologista e oferecer uma abordagem individualizada para a condição específica do paciente, sem que haja postergação desnecessária de correções cirúrgicas de fraturas de fêmur em idosos. Relato do caso: Paciente feminina, 86 anos, hipertensa, vítima de fratura trocantérica de fêmur, levada ao bloco cirúrgico após liberação cardiológica. O exame ultrassonográfico à beira do leito possibilitou a identificação de estenose aórtica, hipertrofia ventricular esquerda, estenose de carótida e indícios de hipovolemia. A partir desses achados, decidiu-se pelo bloqueio nos nervos femoral e cutâneo lateral da coxa guiado pela ultrassonografia como técnica anestésica. Conclusão: O uso da ultrassonografia direcionada à beira do leito pelo anestesiologista pode fornecer informações relevantes para a individualização da técnica anestésica, sem que haja postergação da intervenção cirúrgica, a qual comumente ocorre quando o paciente é referenciado para exame completo pelo especialista. Keywords: Perioperative medicine, Anesthesia, Femur fracture, Ultrasonography, Echocardiography, Palavras-chave: Medicina perioperatória, Anestesia, Fratura de fêmur, Ultrasonografia, Ecocardiografiahttp://www.sciencedirect.com/science/article/pii/S0104001418301441 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marcos Guilherme Cunha Cruvinel Fabiano Soares Carneiro Roberto Cardoso Bessa Junior |
spellingShingle |
Marcos Guilherme Cunha Cruvinel Fabiano Soares Carneiro Roberto Cardoso Bessa Junior Importance of preoperative guided ultrasound in patients with femoral fracture: case report Brazilian Journal of Anesthesiology |
author_facet |
Marcos Guilherme Cunha Cruvinel Fabiano Soares Carneiro Roberto Cardoso Bessa Junior |
author_sort |
Marcos Guilherme Cunha Cruvinel |
title |
Importance of preoperative guided ultrasound in patients with femoral fracture: case report |
title_short |
Importance of preoperative guided ultrasound in patients with femoral fracture: case report |
title_full |
Importance of preoperative guided ultrasound in patients with femoral fracture: case report |
title_fullStr |
Importance of preoperative guided ultrasound in patients with femoral fracture: case report |
title_full_unstemmed |
Importance of preoperative guided ultrasound in patients with femoral fracture: case report |
title_sort |
importance of preoperative guided ultrasound in patients with femoral fracture: case report |
publisher |
Elsevier |
series |
Brazilian Journal of Anesthesiology |
issn |
0104-0014 |
publishDate |
2019-03-01 |
description |
Objective: The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly. Case report: Female patient, 86 years old, hypertensive, victim of trochanteric fracture of the femur, taken to the operating room after being released by cardiology service. A bedside ultrasound exam allowed the identification of aortic stenosis, left ventricular hypertrophy, carotid stenosis, and signs of hypovolemia. From these findings, it was decided to use an ultrasound-guided block of the nerves femoral and lateral cutaneous of the thigh as an anesthetic technique. Conclusions: The use of ultrasound guidance by the anesthesiologist can provide relevant information for individualizing the anesthetic technique, without postponing the surgical intervention, which usually occurs when the patient is referred for complete examination by the specialist. Resumo: Objetivo: Exemplificar o papel do emprego da ultrassonografia à beira do leito pelo anestesiologista e oferecer uma abordagem individualizada para a condição específica do paciente, sem que haja postergação desnecessária de correções cirúrgicas de fraturas de fêmur em idosos. Relato do caso: Paciente feminina, 86 anos, hipertensa, vítima de fratura trocantérica de fêmur, levada ao bloco cirúrgico após liberação cardiológica. O exame ultrassonográfico à beira do leito possibilitou a identificação de estenose aórtica, hipertrofia ventricular esquerda, estenose de carótida e indícios de hipovolemia. A partir desses achados, decidiu-se pelo bloqueio nos nervos femoral e cutâneo lateral da coxa guiado pela ultrassonografia como técnica anestésica. Conclusão: O uso da ultrassonografia direcionada à beira do leito pelo anestesiologista pode fornecer informações relevantes para a individualização da técnica anestésica, sem que haja postergação da intervenção cirúrgica, a qual comumente ocorre quando o paciente é referenciado para exame completo pelo especialista. Keywords: Perioperative medicine, Anesthesia, Femur fracture, Ultrasonography, Echocardiography, Palavras-chave: Medicina perioperatória, Anestesia, Fratura de fêmur, Ultrasonografia, Ecocardiografia |
url |
http://www.sciencedirect.com/science/article/pii/S0104001418301441 |
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