Abstract

ROJAS-RIVERA, Walter  and  ABED-R., Mohammand. Bloqueo femoral tres en uno para cirugía de fractura transtoncantérica de cadera: seguridad y analgesia. Acta méd. costarric [online]. 2002, vol.44, n.2, pp.63-67. ISSN 0001-6002.

Twelve three in one femoral blocks were done for osteosynthesis with pin plate in transtrochanteric hip fracture in patients ASA III and ASA IV. It was used bupivacain 0,25% and lidocain 2% to a 40 ml volume. Observed hemodynamic stability was excellent, thus analgesic during the procedure and recover. Supplementary analgesic was minimal and the fail rate was less than 9%. Great hemodynamic stability, the simplicity of the procedure and the high efectiveness rate, made of the three in one femoral block an excellent choice for patients ASA III and ASA IV with transtrochanteric hip fracture that will need surgery.

Keywords : Three in one femoral block; Femoral nerve block; Obturator nerve block; Lateral femorocutaneous nerve block.