Peripheral Nerve Block as A Safer Alternative than General Anesthesia in High-Risk Patients with Multiple Comorbidities: A Case Report

Danang Kuntoadi (Department of Anesthesiology and Therapy Intensive, Orthopedic Prof. Dr. R. Soeharso Hospital, Surakarta)
Sigit Prasetya Utama (Department of Anesthesiology and Therapy Intensive, Orthopedic Prof. Dr. R. Soeharso Hospital, Surakarta)
Friskha Yuliana (Department of Anesthesiology and Therapy Intensive, Orthopedic Prof. Dr. R. Soeharso Hospital, Surakarta)
Andi Hermawan (Department of Anesthesiology and Therapy Intensive, Orthopedic Prof. Dr. R. Soeharso Hospital, Surakarta)

Solo Journal of Anesthesi, Pain and Critical Care
Vol 5, No 1 (2025): April 2025

Background : Managing anesthesia in high-risk patients with multiple comorbidities is a significant challenge, particularly when general anesthesia may increase perioperative risks. Peripheral nerve block offers a safer alternative by minimizing systemic involvement and avoiding complications associated with general anesthesia.Case Illustration : This case report presents a 68-year-old male with uncontrolled hypertension and a history of stroke who underwent surgery for a clavicle fracture. Due to the patient's cardiovascular and neurological risks, regional block anesthesia was chosen as the preferred technique. The approach allowed for stable perioperative management without complications.Conclusion : This case emphasizes the potential benefits of peripheral nerve block in high-risk surgical patients, offering a safer and effective alternative to general anesthesia.