The Ever-Evolving Tapestry of Modern Life
The Ever-Evolving Tapestry of Modern Life
Modern life. The phrase conjures up a whirlwind of images: bustling cityscapes, technological advancements flashing across screens, and a constant stream of information bombarding us from every direction. It’s a far cry from the agrarian societies of our ancestors, and the changes continue to accelerate. Navigating this complex landscape requires adaptability, resilience, and a healthy dose of curiosity.
The Double-Edged Sword of Technology
Technology is arguably the defining characteristic of modern life. From the smartphones in our pockets to the sophisticated algorithms that power the internet, technology shapes how we communicate, work, and even think. The benefits are undeniable. We have access to unprecedented amounts of information at our fingertips, connecting us to global communities and empowering us to learn and grow in ways never before imagined.
However, this connectivity comes at a price. The constant barrage of notifications and the pressure to stay connected can lead to burnout and feelings of inadequacy. Social media, while offering a platform for connection, can also fuel comparison and anxiety. Learning to manage our relationship with technology, setting boundaries, and prioritizing mindful engagement are crucial skills in the modern world.
Furthermore, the rapid pace of technological advancement raises ethical questions about privacy, artificial intelligence, and the potential for job displacement. As technology continues to evolve, we must engage in critical conversations about its impact on society and strive to harness its power for good.
The Pursuit of Well-being in a Fast-Paced World
The relentless pace of modern life often leaves us feeling stressed and overwhelmed. The pressure to succeed, coupled with the constant demands on our time and attention, can take a toll on our physical and mental well-being. Prioritizing self-care is no longer a luxury but a necessity for thriving in the modern world.
This includes adopting healthy habits such as regular exercise, a balanced diet, and sufficient sleep. But it also encompasses cultivating mindfulness, practicing gratitude, and nurturing meaningful relationships. Taking time to disconnect from technology and connect with nature can also be incredibly beneficial. Many find solace and rejuvenation in pursuing hobbies and creative outlets that allow them to express themselves and de-stress.
Furthermore, understanding the connection between health and beauty is paramount. It’s not just about superficial appearances; it’s about feeling good from the inside out. This involves taking care of your body and mind, nourishing yourself with healthy foods, and engaging in activities that bring you joy and fulfillment. When we prioritize our well-being, we are better equipped to handle the challenges of modern life and live more fulfilling lives.
Navigating the Changing Landscape of Work
The world of work has undergone a dramatic transformation in recent years, driven by technological advancements, globalization, and evolving societal expectations. Traditional 9-to-5 jobs are becoming less common, replaced by more flexible and remote work arrangements. The gig economy is on the rise, offering both opportunities and challenges for workers.
In this dynamic environment, adaptability and continuous learning are essential for career success. Individuals must be willing to embrace new technologies, acquire new skills, and adapt to changing job requirements. Developing strong communication, collaboration, and problem-solving skills is also crucial for navigating the complexities of the modern workplace.
Furthermore, there is a growing emphasis on work-life balance and employee well-being. Companies are increasingly recognizing the importance of creating supportive and inclusive work environments that prioritize employee health and happiness. As the nature of work continues to evolve, it is essential to find a career path that aligns with your values and provides a sense of purpose.
The Importance of Community and Connection
Despite the increasing emphasis on individualism in modern society, the importance of community and connection remains paramount. Human beings are inherently social creatures, and we thrive on meaningful relationships and a sense of belonging. In a world that can often feel isolating and disconnected, building strong communities is more important than ever.
This can involve participating in local community events, volunteering for a cause you care about, or simply making an effort to connect with your neighbors. Building strong relationships with family and friends is also essential for our well-being. Spending time with loved ones, engaging in meaningful conversations, and offering support and encouragement can provide a sense of connection and belonging that is vital for navigating the challenges of modern life.
Ultimately, navigating the complexities of modern life requires a holistic approach. By embracing technology responsibly, prioritizing our well-being, adapting to the changing landscape of work, and nurturing strong communities, we can create a more fulfilling and meaningful life for ourselves and contribute to a better future for all.
The Enduring Appeal of Everyday Wonders
The Enduring Appeal of Everyday Wonders
Life is often described as a journey, and while that metaphor holds true, it’s also a tapestry woven with countless individual moments. These moments, seemingly insignificant on their own, collectively define our experiences and shape our perspectives. From the comforting aroma of freshly brewed coffee in the morning to the vibrant hues of a sunset, the everyday world is brimming with wonders waiting to be discovered and appreciated.
The Power of Observation: Finding Beauty in the Mundane
One of the keys to unlocking the magic of the everyday lies in cultivating a habit of mindful observation. We often rush through our days, preoccupied with tasks and deadlines, failing to truly notice the beauty that surrounds us. Taking a moment to slow down, to truly see and appreciate the details, can transform even the most mundane experiences into something extraordinary.
Consider the simple act of walking through a park. Instead of just moving from point A to point B, try focusing on the details. Notice the intricate patterns on the leaves, the way the sunlight filters through the trees, the sound of birdsong filling the air. These seemingly small observations can evoke a sense of peace and wonder, reminding us of the beauty and complexity of the natural world. Even online, the experience of discovering new platforms can be surprisingly engaging. For instance, some might find themselves exploring options like jojobet giriş for its unique offerings and access.
The Importance of Gratitude: Appreciating the Simple Things
Gratitude is another powerful tool for enhancing our appreciation of the everyday. Taking the time to acknowledge and appreciate the simple things in our lives – a warm bed, a delicious meal, a supportive friend – can significantly boost our overall happiness and well-being. It’s easy to take these things for granted, but by consciously focusing on what we are grateful for, we can cultivate a more positive and optimistic outlook.
Keeping a gratitude journal is a simple yet effective way to practice gratitude. Each day, take a few minutes to write down things you are thankful for. They don’t have to be grand or extraordinary; even the smallest things can make a big difference. Perhaps you’re grateful for a sunny day, a kind word from a stranger, or a productive morning at work. By focusing on these positive aspects of your life, you can shift your perspective and cultivate a deeper appreciation for the present moment.
Embracing Imperfection: Finding Joy in the Unexpected
Life is rarely perfect, and it’s important to embrace the imperfections and unexpected twists that come our way. Instead of striving for an idealized version of reality, we can find joy in the messy, unpredictable nature of life. A spilled cup of coffee, a missed bus, a sudden rain shower – these unexpected moments can be opportunities for growth, learning, and even humor.
Learning to adapt to change and embrace the unexpected is a valuable life skill. It allows us to navigate challenges with greater resilience and to find joy in the spontaneity of life. When things don’t go according to plan, try to view it as an opportunity to learn and grow. Perhaps you’ll discover a new route to work, meet a new friend, or simply learn to be more flexible and adaptable.
The Connection to Others: Sharing the Everyday Experience
Our experiences are often enriched when shared with others. Connecting with friends, family, and even strangers can deepen our appreciation for the everyday and create lasting memories. Sharing a meal, taking a walk, or simply engaging in a conversation can transform an ordinary moment into something special.
Human connection is essential for our well-being. It provides us with a sense of belonging, support, and understanding. Making an effort to connect with others, even in small ways, can significantly enhance our quality of life. Reach out to a friend you haven’t spoken to in a while, volunteer in your community, or simply strike up a conversation with a stranger. You might be surprised by the connections you make and the joy you experience.
In conclusion, the everyday world is a treasure trove of wonder waiting to be discovered. By cultivating a habit of mindful observation, practicing gratitude, embracing imperfection, and connecting with others, we can unlock the magic of the mundane and create a more fulfilling and meaningful life. It’s a continuous process of learning to see, appreciate, and connect with the world around us, transforming ordinary moments into extraordinary experiences.
Organizing an AORA Conference: Both Inspiring and Challenging!
Vol 5 | Issue 1 | January-June 2024 | Page 01-02| Vrushali Ponde
DOI: https://doi.org/10.13107/ijra.2024.v05.i01.082
Authors: Vrushali Ponde [1, 2]
[1] Children’s Anesthesia Services, Mumbai, Maharashtra, India.
[2] AORA India.
Address of Correspondence
Dr. Vrushali Ponde
Chairperson, Board of Studies, AORA India
Founder & Director, Children’s Anesthesia Services, Mumbai, Maharashtra, India.
E-mail: vrushaliponde@yahoo.co.in
Abstract
Oraginzing AORA ((Academy Of Regional Anaesthesia, India ) conferences is inspiring! However, it is also a monumental challenge. This annual event, which is distinguished by its innovative approach, impeccable discipline, and epitome of professionalism, is much more than a collection of lectures, workshops, master classes and yes, the wars.
It is a demonstration of unwavering dedication to the demands of anesthesiologists as well as a sign of AORA’s pride and unity. It ensured an exhaustive coverage of all branches and super-specialties within regional anesthesia.The conference meticulously incorporates two main tracks, including PNS (Peripheral Nerve Stimulation) and USG (Ultrasound Guidance) . Also delves into dedicated symposiums on subspecialties such as obstetric regional anaesthesia, paediatric anaesthesia, chronic pain, and more, However, despite the apparent precision and sophistication of its organization, numerous obstacles continue to exist. These encompass the following:
• Ensuring economic feasibility while fostering genuine industry partnerships,
• Adapting to the evolving landscape of medical education, and
• Balancing the requirements of both faculty and delegates.
Primary Obstacles
Balancing the Needs of Faculty and Delegates:
Although faculty members are essential for the dissemination of knowledge and the exchange of expertise, the conference’s primary focus should be on the delegates. Delegates of the present day possess unparalleled access to online learning platforms and resources. Therefore, the obstacle is to communicate the reasons why attending the AORA conference is an unparalleled experience. It is not solely about acquiring information; it is also about the human connection—including the opportunity to engage with mentors who inspire, participate in seminars that provide hands-on learning, and witness live demonstrations that illustrate real-world scenarios.
Without aspiring students, what would a teacher do? And without a mentor eager to share, where does a student truly learn? Both are indispensable in the journey of growth and upliftment
Human Element vs. Digital Learning:
In a time when digital learning is ubiquitous, the significance of human interaction in education is immeasurable. An opportunity to engage in face-to-face discussions, connect personally with experts, and witness live demonstrations of both successes and failures is provided by the AORA conference, which online platforms are unable to completely replicate. This human touch—understanding vulnerabilities and learning from real-time examples—adds a layer of substance to professional development that digital media alone cannot provide.
Online information is valuable, but in the presence of masters and experts, knowledge and inspiration truly bloom
Economic Factors:
The organization of a conference of this magnitude necessitates a substantial financial investment. It is essential to achieve a balance between managing costs and maintaining high standards. Mitigating economic pressures can be achieved by establishing robust, authentic partnerships with industry sponsors and comprehending their needs. These partnerships are not solely transactional; rather, they should be founded on mutual benefit and collaboration, guaranteeing that both parties benefit from the association.
Trade and education are not merely a give and take; this connection fosters something unique—a mutual understanding and a profound realization that both are interdependent.
Inquiries for Introspection
What are some ways in which we can improve the conference experience to offer more value than what is currently available online?
It is imperative to emphasize the distinctive features of the conference that digital platforms are unable to provide, including
• Networking opportunities,
• Real-time problem-solving, and
• Live interactions with thought leaders.
What is the most effective method for conveying the distinction between information and inspiration to delegates?
The conference provides inspiration through mentorship and real-world applications of knowledge, while online resources provide information. Delegates must comprehend this distinction.
What strategies can we implement to guarantee that the conference maintains its quality while remaining economically viable?
Exploring innovative funding models, forming strategic partnerships, and optimizing resource allocation can help achieve this balance. Perhaps, keeping it for a shorter duration!, Consideration of a shorter duration could enhance the conference’s effectiveness, making it more focused and impactful.
In summary, the organization of an AORA conference is a multifaceted undertaking that extends beyond academic content and logistical planning. It necessitates a strategic approach to economic management, an appreciation for the nuances of live learning, and a profound comprehension of the human factors that drive professional development. By thoughtfully and creatively addressing these challenges, we can maintain the AORA conference as a groundbreaking event that embodies the essence of excellence in regional anesthesia.
Regards,
Dr. Vrushali Ponde
Chairperson, Board of Studies, AORA India.
Founder & Director, Children’s Anesthesia Services, Mumbai, Maharashtra, India.
| How to Cite this Article: Ponde V | Organizing an AORA Conference: Both Inspiring and Challenging! | International Journal of Regional Anaesthesia | January-June 2024; 5(1): 01-02 | DOI: https://doi.org/10.13107/ijra.2024.v05.i01.82 |
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Are We Depleted of Research Questions in Regional Anaesthesia?
Vol 5 | Issue 1 | January-June 2024 | Page 03-06| Divesh Arora
DOI: https://doi.org/10.13107/ijra.2024.v05.i01.083
Authors: Anju Grewal [1], Gegal Pruthi [1], Hemanthkumar Tamilchelva [1]
[1] Department of Anaesthesiology, AIIMS, Bathinda, Punjab, India
Address of Correspondence
Dr. Gegal Pruthi,
Department of Anaesthesiology, AIIMS, Bathinda, Punjab, India
E-mail: drpkc12@gmail.com
Abstract
Regional anaesthesia has significantly evolved, shaping pain management in surgery. This article examines whether research question in this field are becoming exhausted, or if new avenues remain unexplored. Key trends include the integration of ultrasound guidance for precision, optimizing drug combinations for enhanced safety and efficacy, and focusing on patient-concerned outcomes to improve satisfaction and recovery. Tailored approaches for special populations and long-term safety studies are also crucial. Future research may explore innovations in drug delivery, novel local anaesthetic adjuncts, neurostimulation techniques, global access, interdisciplinary collaborations, and the application of artificial intelligence. Emphasizing simplicity, innovation, and patient centric care will ensure continued progress in regional anaesthesia, fostering advancement that enhance both scientific knowledge and clinical practices.
Keywords: Pain management, Regional anaesthesia, Research trends
References
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(2) COVIDSurg Collaborative, GlobalSurg Collaborative, Nepogodiev D, Simoes JF, Li E, Picciochi M, Glasbey JC, Baiocchi G, Blanco‐Colino R, Chaudhry D, AlAmeer E. Timing of surgery following SARS‐CoV‐2 infection: an international prospective cohort study. Anaesthesia. 2021 Jun;76(6):748-58.
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(5) Yun JS, Chung MJ, Kim HR, So JI, Park JE, Oh HM, Lee JI. Accuracy of needle placement in cadavers: non-guided versus ultrasound-guided. Annals of rehabilitation medicine. 2015 Apr 24;39(2):163-9.
(6) Johnson AN, Peiffer JS, Halmann N, Delaney L, Owen CA, Hersh J. Ultrasound-Guided needle technique accuracy: prospective comparison of passive magnetic tracking versus unassisted echogenic needle localization. Regional Anesthesia & Pain Medicine. 2017 Mar 1;42(2):223-32.
(7) Wu CL, Fleisher LA. Outcomes research in regional anesthesia and analgesia. Anesthesia & Analgesia. 2000 Nov 1;91(5):1232-42.
(8) Turbitt LR, Mariano ER, El‐Boghdadly K. Future directions in regional anaesthesia: not just for the cognoscenti. Anaesthesia. 2020 Mar;75(3):293-7.
(9) Gadsden J, Orebaugh S. Targeted intracluster supraclavicular brachial plexus block: too close for comfort. British Journal of Anaesthesia. 2019 Jun 1;122(6):713-5.
(10) Desai N, Kirkham KR, Albrecht E. Local anaesthetic adjuncts for peripheral regional anaesthesia: a narrative review. Anaesthesia. 2021 Jan;76:100-9.
(11) Kurdi MS, Agrawal P, Thakkar P, Arora D, Barde SM, Eswaran K. Recent advancements in regional anaesthesia. Indian Journal of Anaesthesia. 2023 Jan;67(1):63.
(12) Bowness J, Varsou O, Turbitt L, Burkett‐St Laurent D. Identifying anatomical structures on ultrasound: assistive artificial intelligence in ultrasound‐guided regional anesthesia. Clinical Anatomy. 2021 Jul;34(5):802-9.
| How to Cite this Article: Grewal A, Pruthi G, Tamilchelva H | Are We Depleted of Research Questions in Regional Anaesthesia? | International Journal of Regional Anaesthesia | January-June 2024; 5(1): 03-06 | DOI: https://doi.org/10.13107/ijra.2024.v05.i01.83 |
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Ultrasound: Ankle and Foot Blocks
Vol 5 | Issue 1 | January-June 2024 | Page 07-13| Divesh Arora
DOI: https://doi.org/10.13107/ijra.2024.v05.i01.084
Authors: Divesh Arora [1]
[1] Anaesthesia & OT Services, Asian Hospital, Faridabad, Haryana, India.
Address of Correspondence
Dr. Divesh Arora,
Director & HOD, Anaesthesia & OT Services, Asian Hospital, Faridabad, Haryana, India.
E-mail: drdivesh@gmail.com
Abstract
Ankle blocks are regional anaesthetic techniques used for foot surgery and pain management. Traditionally performed with anatomical landmarks, ultrasound-guided ankle and foot blocks have emerged as a pivotal technique in regional anaesthesia, offering enhanced precision and safety over traditional methods. This review article examines the current practices in ultrasound-guided ankle and foot blocks, including the necessary equipment, sonoanatomy, and injection techniques for various nerves. This comprehensive review aims to equip anaesthesiologists with the knowledge to effectively implement ultrasound-guided ankle and foot blocks, ultimately optimizing pain management and procedural success in lower extremity interventions.
Keywords: Ankle block, Ultrasound guidance, Foot and ankle surgery
References
1. Han JR, Tran J, Agur AM. Overview of the Innervation of Ankle Joint. Physical Medicine and Rehabilitation Clinics. 2021 Nov 1;32(4):791-801.
2. Moosa F, Allan A, Bedforth N. Regional anaesthesia for foot and ankle surgery. BJA education. 2022 Nov 1;22(11):424-31.
3. Sharrow CM, Elmore B. Anesthesia for the Patient Undergoing Foot and Ankle Surgery. Clinics in Sports Medicine. 2022 Apr 1;41(2):263-80.
4. Madhavi C, Isaac B, Antoniswamy B, Holla SJ. Anatomical variations of the cutaneous innervation patterns of the sural nerve on the dorsum of the foot. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2005 Apr;18(3):206-9.
5. Mercer D, Morrell NT, Fitzpatrick J, Silva S, Child Z, Miller R, DeCoster TA. The course of the distal saphenous nerve: a cadaveric investigation and clinical implications. The Iowa orthopaedic journal. 2011;31:231.
6. López AM, Sala-Blanch X, Magaldi M, Poggio D, Asuncion J, Franco CD. Ultrasound-guided ankle block for forefoot surgery: the contribution of the saphenous nerve. Regional Anesthesia & Pain Medicine. 2012 Sep 1;37(5):554-7.
7. Gbejuade H, Squire J, Dixit A, Kaushik V, Mangwani J. Ultrasound-guided regional anaesthesia in foot and ankle surgery. Journal of Clinical Orthopaedics and Trauma. 2020 May 1;11(3):417-21.
8. Korwin-Kochanowska K, Potié A, El-Boghdadly K, Rawal N, Joshi G, Albrecht E. PROSPECT guideline for hallux valgus repair surgery: a systematic review and procedure‐specific postoperative pain management recommendations. Regional Anesthesia & Pain Medicine. 2020 Sep 1;45(9):702-8.
9. Lee M, Lee C, Lim J, Kim H, Choi YS, Kang H. Comparison of a Peripheral Nerve Block versus Spinal Anesthesia in Foot or Ankle Surgery: A Systematic Review and Meta-Analysis with a Trial Sequential Analysis. Journal of Personalized Medicine. 2023 Jul 4;13(7):1096.
10. Schipper ON, Hunt KJ, Anderson RB, Davis WH, Jones CP, Cohen BE. Ankle block vs single-shot popliteal fossa block as primary anesthesia for forefoot operative procedures: prospective, randomized comparison. Foot & ankle international. 2017 Nov;38(11):1188-91.
11. Roberts VI, Aujla RS, Fombon FN, Singh H, Bhatia M. Is regional ankle block needed in conjunction with general anaesthesia for first ray surgery? A randomised controlled trial of ultrasound guided ankle block versus “blind” local infiltration. Foot and Ankle Surgery. 2020 Jan 1;26(1):66-70.
12. Chin KJ, Wong NW, Macfarlane AJ, Chan VW. Ultrasound-guided versus anatomic landmark-guided ankle blocks: a 6-year retrospective review. Regional Anesthesia & Pain Medicine. 2011 Oct 1;36(6):611-8.
13. Redborg KE, Antonakakis JG, Beach ML, Chinn CD, Sites BD. Ultrasound improves the success rate of a tibial nerve block at the ankle. Regional Anesthesia & Pain Medicine. 2009 Apr 1;34(3):256-60.
14. Redborg KE, Sites BD, Chinn CD, Gallagher JD, Ball PA, Antonakakis JG, Beach ML. Ultrasound improves the success rate of a sural nerve block at the ankle. Regional Anesthesia & Pain Medicine. 2009 Jan 1;34(1):24-8.
15. Antonakakis JG, Scalzo DC, Jorgenson AS, Figg KK, Ting P, Zuo Z, Sites BD. Ultrasound does not improve the success rate of a deep peroneal nerve block at the ankle. Regional Anesthesia & Pain Medicine. 2010 Feb 1;35(2):217-21.
16. Lee JK, Lee GS, Kim SB, Kang C, Kim KS, Song JH. A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study. Medicina. 2023 Jul 14;59(7):1302.
17. Marty P, Rontes O, Chassery C, Vuillaume C, Basset B, Merouani M, Marquis C, Bataille B, Chaubard M, Mailles MC, Ferré F. Perineural versus systemic dexamethasone in front-foot surgery under ankle block: a randomized double-blind study. Regional Anesthesia & Pain Medicine. 2018 Oct 1;43(7):732-7.
18. Dawson RL, McLeod DH, Koerber JP, Plummer JL, Dracopoulos GC. A randomised controlled trial of perineural vs intravenous dexamethasone for foot surgery. Anaesthesia. 2016 Mar;71(3):285-90.
19. Kahn RL, Ellis SJ, Cheng J, Curren J, Fields KG, Roberts MM, YaDeau JT. The incidence of complications is low following foot and ankle surgery for which peripheral nerve blocks are used for postoperative pain management. HSS Journal®. 2018 Jul;14(2):134-42.
20. Lauf JA, Huggins P, Long J, Mohammed AI, Byrne B, Large BP, Whitehead B, Cheney NA, Law Sr TD. Regional nerve block complication analysis following peripheral nerve block during foot and ankle surgical procedures. Cureus. 2020 Jul 28;12(7).
| How to Cite this Article: Arora D | Ultrasound: Ankle and Foot Blocks | International Journal of Regional Anaesthesia | January-June 2024; 5(1): 07-13 | DOI: https://doi.org/10.13107/ijra.2024.v05.i01.84 |
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USG Guided Lumbosacral Plexus Block for Surgery for Fracture Hip in High-Risk Patients– A Retrospective Case Series
Vol 5 | Issue 1 | January-June 2024 | Page 14-17| Harshal D Wagh , Chetan Salunkhe , Mitalee Pareek , Senthil Kumar
DOI: https://doi.org/10.13107/ijra.2024.v05.i01.085
Authors: Harshal D Wagh [1], Chetan Salunkhe [1], Mitalee Pareek [1], Senthil Kumar [1]
[1] Department of Anaesthesia, Kokilaben Dirubhai Ambani Hospital, Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Mitalee Pareek
Department of Anaesthesia, Kokilaben Dirubhai Ambani Hospital, Mumbai, Maharashtra, India.
E-mail: pareekmitalee@gmail.com
Abstract
Background 1.6 million patients worldwide are victims of hip fracture. The incidence is expected to rise with ageing of world’s population. Elderly patients with hip fracture pose a medical challenge for the anesthesiologist and are often associated with high incidence of morbidity and mortality. Early surgical fixation of fractured joint is necessary to reduce associated morbidity. Advanced age and delayed surgical correction and medical history are independent factors determining 1 year mortality after hip fixation which is 23.9% in these patients.
Objective: In this case series where we share our experience of fracture femur fixation performed under USG guided combined lumbosacral block for 19 patients of ASA 3/4 physical status.
Method: Hip fracture fixation was performed under USG guided and neurostimulation technique Lumbar plexus and Para-sacral sciatic nerve block with 20 ml and 15 ml of 0.3% Ropivacaine respectively. All patients were shifted to ICU for further care.
Conclusion: USG guided Lumbosacral plexus block for surgeries around the hip joint can be used as a sole anesthetic in high-risk patients. Detailed preoperative evaluation and optimization, vigilant patient selection, counselling, monitoring, providing optimum drug dosage are key for success.
Keywords: Lumbosacral plexus block, Hip fracture, USG-guided
References
1] Ahamed Z A, Sreejit MS. Lumbar plexus block as an effective alternative to subarachnoid block for intertrochanteric hip fracture surgeries in the elderly. Anesth Essays Res 2019;13:264-8
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8] Zhang J, Wang X, Zhang H, Shu Z, Jiang W. Comparison of combined lumbar and sacral plexus block with sedation versus general anaesthesia on postoperative outcomes in elderly patients undergoing hip fracture surgery (CLSB-HIPELD): study protocol for a prospective, multicentre, randomised controlled trial. BMJ Open. 2019 Mar 30;9(3):e022898. doi: 10.1136/bmjopen-2018-022898. PMID: 30928924; PMCID: PMC6475153.
9] Honorio T. Benzon, Rasha S. Jabri, and Tom C. Van Zundert Neuraxial Anesthesia and Peripheral Nerve Blocks in Patients on Anticoagulants. https://www.nysora.com/foundations-of-regional-anesthesia/patient-management/neuraxial-anesthesia-peripheral-nerve-blocks-patients-anticoagulants/
10] Nielsen MV, Bendtsen TF, Børglum J. Superiority of ultrasound-guided Shamrock lumbar plexus block. Minerva Anestesiol. 2018 Jan;84(1):115-121. doi: 10.23736/S0375-9393.17.11783-9. Epub 2017 Jul 26. PMID: 28749094.
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14] Uma Shastri, Kwesi Kwofie, Emine Aysu Salviz, Daquan Xu, Admir Hadzic. 54 – Lower Extremity Nerve Blocks,Editor(s): Honorio T. Benzon, James P. Rathmell, Christopher L. Wu, Dennis C. Turk, Charles E. Argoff, Robert W. Hurley, Practical Management of Pain (Fifth Edition)2014, Pages 732-744.e2, https://doi.org/10.1016/B978-0-323-08340-9.00054-2.
| How to Cite this Article: Wagh HD, Salunkhe C, Pareek M, Kumar S | USG Guided Lumbosacral Plexus Block for Surgery for Fracture Hip in High-Risk Patients– A Retrospective Case Series Block | International Journal of Regional Anaesthesia | January-June 2024; 5(1): 14-17 | DOI: https://doi.org/10.13107/ijra.2024.v05.i01.85 |
