Turkish Journal of
GERIATRICS

¹Karacabey State Hospital, Anesthesiology and Reanimation Department, BURSA, Türkiye
²Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences, Anesthesiology and Reanimation Department, BURSA, Türkiye DOI : 10.29400/tjgeri.2026.492 Introduction: In the geriatric patient group, various regional anesthesia methods can be used for anesthesia in intertrochanteric femur fracture, which is frequently encountered. This study aimed to evaluate the echocardiographic effects of various regional anesthesia techniques applied in intertrochanteric femur fracture surgeries. Materials and Method: This prospective, observational study included 64 patients aged 60?100 years, classified as American Society of Anesthesiologists score I?IV risk group, who were scheduled to undergo intertrochanteric femur fracture surgery. Patients were divided into Group SA (n=32): spinal anesthesia, and Group LP+SP (n=30): lumbar and sacral plexus block. The primary outcome measure was the ejection fraction measured by the modified Simpson method; the secondary outcome measures were ejection fraction measurement by the fractional shortening method, mitral and aortic valve Doppler measurement results, intraoperative blood pressure monitoring, amounts of intravenously administered fluids, entropy values. Results: In the intragroup evaluation, when the baseline ejection fraction values were compared with the ejection fraction values at the 20th minute after the procedure, a statistically significant decrease was observed in both groups (p<0.05). In the intergroup evaluation, a statistically significant difference was found in ejection fraction measurement values at the 20th minute after the procedure, with lower values observed in the spinal anesthesia group (p<0.05). Conclusion: The results of this study indicate that spinal anesthesia has a greater impact on the cardiovascular system compared to lumbar and sacral plexus block. Keywords : Geriatrics; Anesthesia, Spinal; Frailty; Echocardiography