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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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Detalles Bibliográficos
Autores principales: Kaniyil, Suvarna, Priya, P. G., Nithinkumar, M. P., Sneha, S. R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10436721/
https://www.ncbi.nlm.nih.gov/pubmed/37601939
http://dx.doi.org/10.4103/ija.ija_888_22
Descripción
Sumario: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.