Perianesthesia Management in Bipolar Arthroplasty Diagnosis of Collum Femur Fracture With Diabetes Mellitus and Hypertension Using Regional Anesthesia Subarachnoid Block (SAB) : A Case Report
Keywords:
anesthesia, diabetes mellitus, hypertension, subarachnoid block, arthroplastyAbstract
Femur neck fractures are classified into the hip fracture category. The incidence of hip fractures is estimated to increase from 1.66 million in 1990 to 6.26 million in 2050, as life expectancy increases. It is estimated that the largest number of pelvic fractures will be found in Asia by 2050, which is 50% of the total total pelvic fractures in the world. A descriptive observational case study focusing on the perioperative management of a single patient undergoing bipolar arthroplasty. The surgery was performed using regional anesthesia—Subarachnoid Block (SAB) with Bupivacaine (0.5% hyperbaric) at the L3-L4 level. The patient was monitored throughout preoperative, intraoperative, and postoperative phases. Subarachnoid block regional anesthesia has been administered to a 69-year-old man with a diagnosis of femur collum fracture with ASA II physical status who will undergo bipolar arthroplasty surgery with comorbid controled hypertension and diabetes mellitus type 2. The spinal anesthesia technique of subarachnoid block can reduce the risk of perioperative complications and reduce the use of opioids, thereby minimizing the risk of side effects and speeding up the mobilization process
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Copyright (c) 2025 Ahmad Sulaeman, Made Suandika, Rahmaya Nova Handayani , Cindy Maharani, Dwi Darmawan Dani (Author)
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