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Peripheral Nerve Blockade for Open Inguinal Hernia Repair in a Patient With Severe Cardiopulmonary Disease.

Authors
  • Braun, Andrew S1
  • Wakefield, J Drake1
  • Kukreja, Promil1
  • Simmons, Jeffrey1
  • Ohlman, Beomjy1
  • Corey, Britney2
  • Gans, Asaf1
  • 1 Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham (UAB), Birmingham, USA.
  • 2 Department of Surgery, University of Alabama at Birmingham (UAB), Birmingham, USA.
Type
Published Article
Journal
Cureus
Publisher
Cureus, Inc.
Publication Date
Mar 01, 2024
Volume
16
Issue
3
Identifiers
DOI: 10.7759/cureus.56646
PMID: 38650808
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Patients with severe cardiopulmonary morbidity present a unique challenge to peri- and intraoperative providers. Inducing general anesthesia in this patient population poses the risk of adverse events that could lead to poor surgical outcomes, prolonged debilitation, or death. Therefore, it is important that anesthesiologists become comfortable with preoperative evaluation as well as alternative strategies to providing surgical anesthesia. This case report details the clinical course of a patient with severe cardiopulmonary morbidity who underwent open inguinal hernia repair without oral or intravenous sedation after receiving multi-level paravertebral blocks in addition to isolated ilioinguinal and iliohypogastric nerve blocks. This medically challenging case provides educational value regarding preoperative evaluation, pertinent anatomy and innervation, and the importance of patient-centered care and communication. Copyright © 2024, Braun et al.

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