Anesthesia management in a patient who underwent orthopedic surgery for thirty three times in a period of twenty seven months: Case report

Abstract

Patients who are treated for gunshot wounds may usually require multiple surgical interventions and long-term intensive care unit follow up due to multiple organ or extremity injuries. In this paper, we presented a 38-year-old male patient who had bilateral lower extremity fractures as the result of gunshot wounds and underwent surgical procedures for 33 times of which 1 was under general anesthesia, 9 spinal anesthesia, 9 "3-in- 1" block method and 3 femoral nerve blockage with 11 sedations within 27 months. This case was considered original as no information was available in the literature on how many times spinal anesthesia and peripheral nerve blocks should be applied successively. © 2012 by Türkiye Klinikleri.