Spinal anesthesia with small dose bupivakain in the highly elderly patient

Year 2010, Volume: 1 Issue: 3, - , 01.09.2010

Feyzi Çelik Adnan Tüfek Zeynep Baysal Yıldırım Haktan Karaman Halit Baykan Gönül Ölmez Kavak Vildan Temel

https://doi.org/10.5799/ahinjs.01.2010.03.0044

https://izlik.org/JA23KY77WK

Abstract

The most patients that are applied hip and lower-extremity surgery are in the elderly group. The presence of cardiac, endocrine, renal, cerebral and respiratory diseases in this age group increases the risk of peroperative, postoperative morbidity and mortality. In this case, it is presented the managing of anesthesia of a 106 year-old man whom the operation of right hip prosthesis is made.

Keywords

Bupivacaine , spinal anesthesia , hip fractures , elderly patient

İleri derece yaşlı hastada mini doz bupivakain ile spinal anestezi

https://izlik.org/JA23KY77WK

Abstract

Kalça ve alt ekstremite cerrahisi uygulanan hastaların büyük bir çoğunluğu ileri yaş grubundadır. Bu yaş grubundaki hastalarda kardiyak, endokrin, renal, serebral ve respiratuvar hastalıkların varlığı, peroperatif ve postoperatif morbidite ve mortalite riskini artırmaktadır. Bu olguda sağ kalça protezi operasyonu yapılan 106 yaşındaki erkek hastanın anestezi yönetimi sunulmuştur.

Keywords

Bupivakain , spinal anestezi , kalça kırıkları , yaşlı hasta

References

• Abrams WB, Beers MH, Berkow R. The Merck Manual of Geriatrics A Cross National Perspective. Second edition. In:, Whitehouse Station, N.J. Merck Research Laboratories, 1996; 123-29.
• Türkmen A, Turgut N. Geriatrik Anestezi. Türk Geriatri Dergisi 2007;10:49–56.
• Karslı B, Kafalı İH, Mimaroğlu C, Özok U. Geriatrik Anestezi. T Klin Tıp Bilimleri 1994;14:309-13.
• Rooke GA, Robinson BJ. Cardiovascular and autonomic nervous system aging. Problems in Anesthesia 1997; 9:482-97.
• Sielenkammper A, Booke M. Anaesthesia and the Elderly. Current Opinion in Anaesthesiology 2001;14:679-84.
• Oğurlu M, Şen S, Uğur B, Dişcigil G, Aydın On, Gürsoy F. 65 yaş üstü hastalarda spinal anesteziye bağlı hipotansiyon gelişiminin değerlendirilmesi. Türk Geriatri Dergisi 2006;9:126–9.
• Martyr JW, Clark MX. Hypotension in elderly patients undergoing spinal anaesthesia for repair of fractured neck of femur. A comparison of two different spinal solutions. Anaesth Intensive Care 2001;29:501–5.
• Ben-David B, DeMeo PJ, Lucyk C, Solosko D. Minidose lidocaine-fentanyl spinal anesthesia in ambulatory surgery: prophylactic nalbuphine versus nalbuphine plus droperidol. Anesth Analg 2002;95:1596–600.
• Valanne VJ, Korhonen AM, Jokela RM, Ravaska P, Korttila KK. Selective spinal anesthesia: a comparison of hyperbaric bupivacaine 4 mg versus 6 mg for outpatient knee arthroscopy. Anesth Analg 2001;93:1377-9.
• Biboulet P, Deschodt J, Aubas P, Vacher E, Chauvet P, D'Athis F. Continuous spinal anesthesia: does low-dose plain or hyperbaric bupivacaine allow the performance of hip surgery in the elderly. Reg Anesth 1993;18:170–5.