Spinal anesthesia with small dose bupivakain in the highly elderly patient

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

Öz

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.

Anahtar Kelimeler

• Bupivakain, spinal anestezi, kalça kırıkları, yaşlı hasta

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