Global ageing is a growing problem for anaesthesiologists: A case of regional blocks in a geriatric patient

Abstract

The geriatric patients who needs to emergency surgery increases depending on the ageing world population. These patients frequently have multiple comorbidities such as cardiac disease, diabetes mellitus, chronic obstructive pulmonary disease. Perioperative careful anesthesia management reduce risk factors, morbidities and mortality. Peripheral nerve blocks are preferred in geriatric patients, to protect the state of consciousness, creating minimal changes in hemodynamic and respiratory parameters and postoperative sufficient pain control. Regional anaesthesia supress surgical stress response. In this case report, we aimed to present an infraclavicular block and spinal anaesthesia combination in a 73 years old, American Society of Anesthesiologists Classification (ASA) IV geriatric patient who underwent emergency orthopaedic surgery due to trauma.