Shakya Bigen Man, Shrestha Ninadini
Department of Anaesthesiology, Tribhuvan university Teaching hospital, Maharajgunj, Kathmandu, Nepal.
J Nepal Health Res Counc. 2018 Jul 4;16(2):248-250.
The postoperative pain management in the elderly is challenging due to comorbidities and change in physiology due to age itself. This limit the use of medication which include pain medication also. The fascia iliaca compartment block has been described in the literature for fracture of femur. It has even been safely used by non anaesthesiologist also. To our knowledge, we did not find any case report of continuous fascia iliaca compartment block published in Nepal. This is our first experience of successful continous fasicia iliaca compartment block in case of 89 year old lady with multiple co morbidities in whom traditional pain medication might be difficult to use. We encourage to practice this block which is both safe and easy to perform with good results.
由于并存疾病以及年龄本身导致的生理变化，老年患者的术后疼痛管理具有挑战性。这限制了包括止痛药在内的药物使用。文献中已描述了髂筋膜间隙阻滞用于股骨骨折。甚至非麻醉医生也能安全使用。据我们所知，我们未在尼泊尔发现已发表的关于连续髂筋膜间隙阻滞的病例报告。这是我们首次成功地对一位患有多种并存疾病的89岁女性实施连续髂筋膜间隙阻滞的经验，对她而言，使用传统止痛药可能很困难。我们鼓励开展这种既安全又易于实施且效果良好的阻滞方法。
