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Case Report

Anaesth. pain intensive care. 2021; 25(2): 222-224


THE COMBINED USAGE OF INFRACLAVICULAR AND SPINAL BLOCKAGE IN A COMORBID PATIENT

Mehmet Sahap, Handan Gulec, Abdulkadir But, Selcuk Gulec, Ayca Dumanlı Ozcan.




Abstract

The higher incidence of comorbidities causes difficulties in anesthesia management in elderly patients. When choosing the anesthesia technique, we should aim to avoid the aggravation of the systemic diseases and disturbing the hemodynamics in patients to ensure their rapid return to everyday life. In this report, we presented infraclavicular nerve block administration accompanied with spinal anesthesia in an elderly patient with multiple trauma and severe comorbidities. The surgical operation was successfully performed with minimal effects on the patient's hemodynamics, and the patient was transferred to the clinic. As a result, preservation of hemodynamic stability could be aimed in choosing the most appropriate anesthesia technique and nerve block could be administered to the patients with respiratory problems, paying attention to diaphragm paralysis.

Key words: Spinal anesthesia, Infraclavicular block, multiple trauma, comorbidity






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