{
  "abstract": "Application for ESRA Abstract Prizes : I apply as an Anesthesiologist (Aged 35 years old or less)Background and Aims Trochanteric femoral fractures is most common in eldery patients and associated with high mortality. Anesthesia strategy in elderly involves providing sufficient conditions for surgery while reducing its effects on already impaired cardiopulmonary reserve and cognitive function. We would like to present the anesthesia management in elderly patient with severe aortic stenosis in trochanteric fracture surgery.Results CASE REPORT: A 90-year-old patient was admitted for surgery due to fractured femure. The anesthesia plan included administering a peripheral nerve block. Patient had a medical history of severe aortic stenosis with an aortic valve area of 0.84 cm2, hypertension and chronic kidney disease, which complicated with melena after admission. After the gastroenterological treatment and resolution of sympthoms, the patient was scheduled for orthopaedic surgery. An ultrasound-guided PNBs was performed, which included the fascia iliaca block, femoral nerve block, pericapsular nerve group block, and lumbar plexus block. First, an ultrasound-guided (eZono®4000, eZono, Germany) fascia iliaca block was performed in the supine position and 10 ml of local anesthetic levobupivacaine 0.25% was injected. Femoral nerve block was performed with infiltration of 10 ml of levobupivacaine 0.25% perineuraly. Subsequently, 5 ml of levobupivacaine 0.25% was injected for the pericapsular nerve group block. Then, the patient were placed in the lateral decubitus position. Posterior lumbar plexus block was performed using anatomical landmarks and peripheral nerve stimulation (Stimuplex® HNS 12, B. Braun, North America), and 10 ml of levobupivacaine 0.25% was injected. A total of 35 ml of anesthetic was applied for the PNB, afterwhich complete anesthesia of the hip and thigh region was achieved.Conclusions PNB achieves adequate conditions for trochanteric fracture surgery, postoperative analgesia, while preserving a hemodynamic stability, which enables early rehabilitation and better recovery after surgery.",
  "authors": [
    {
      "affiliations": [
        "Department of Anesthesiology, Institute for Orthopeadics ‘Banjica’, Beograd, Serbia"
      ],
      "name": "Ana Milosavljević"
    },
    {
      "affiliations": [
        "Department of Anesthesiology, Institute for Orthopeadics, Beograd, Serbia"
      ],
      "name": "Miloš Blagojević"
    },
    {
      "affiliations": [
        "General Orthopaedics, Institute for Orthopeadics, Beograd, Serbia"
      ],
      "name": "Andrija Milićević"
    },
    {
      "affiliations": [
        "General Orthopaedics, Institute for Orthopeadics, Beograd, Serbia",
        "Department of Surgery and Anaesthesiology, University of Belgrade, Faculty of Medicine, Beograd, Serbia"
      ],
      "name": "Andreja Baljozović"
    },
    {
      "affiliations": [
        "Department of Anesthesiology, Institute for Orthopeadics ‘Banjica’, Beograd, Serbia"
      ],
      "name": "Teodora Antić"
    },
    {
      "affiliations": [
        "Department of Anesthesiology, Institute for Orthopeadics, Beograd, Serbia"
      ],
      "name": "Mina Đaković"
    }
  ],
  "title": "P135 Regional nerve block for trochanteric femoral fracture surgery in an elderly patient with severe aortic stenosis: a case report",
  "uid": "05bec9a5-fab3-5be1-a278-ddeabdb847bd"
}