ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT

Year 2012, Volume: 19 Issue: 3, 103 - 106, 30.09.2012

Canan Atalay Ayşenur Sümer Coşkun İlker İnce Elif Oral Orhan Karsan Hüsnü Kürşad

Abstract

Geriatric patients are at increased risk of mortality and morbidity from anesthesia. Aortic stenosis, this risk increases even more. This case report presents two cases where low-dose spinal anesthesia was used through combined spinal epidural and continuous spinal anesthesia techniques for the lower extremity surgery of elderly patients with severe aortic stenosis. In high-risk cardiac surgery in elderly patients, lower extremity regional anesthesia has been preferred to general anesthesia to maintain hemodynamic stability. Two elderly patients with severe aortic stenosis were operated for hip fracture. Both cases used combined spinal epidural and continuous spinal anesthesia. Vital signs remained stable in both cases.

Keywords

kombine spinal-epidural anestezi, kontinü spinal anestezi, þiddetli aort darlýðý, geriatrikhasta

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