Fractional spinal anaesthesia in high-risk elderly patients for orthopaedic surgery - Case series

Elderly patients coming for orthopaedic surgeries usually have many comorbidities. This makes them potentially vulnerable to haemodynamic instability with a conventional bolus dose of spinal anaesthetic. Fractionating the spinal dose was reported to have haemodynamic stability with a longer duration...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2023-07, Vol.67 (7), p.651-654
Main Authors: Kaniyil, Suvarna, Priya, P, Nithinkumar, M, Sneha, S
Format: Article
Language:English
Subjects:
Aged patients
Anesthesia
Anesthesiology
Bupivacaine
Case Series
Case studies
Comorbidity
Dexmedetomidine
Medical research
Medicine, Experimental
Methods
Orthopedic surgery
Physiological aspects
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Summary:Elderly patients coming for orthopaedic surgeries usually have many comorbidities. This makes them potentially vulnerable to haemodynamic instability with a conventional bolus dose of spinal anaesthetic. Fractionating the spinal dose was reported to have haemodynamic stability with a longer duration. Here, we present five cases of high-risk elderly patients with multiple comorbidities who presented for orthopaedic surgeries and were successfully managed with fractional spinal anaesthesia.
ISSN:0019-5049
0976-2817
DOI:10.4103/ija.ija_888_22