Title: Elderly Patient with Scoliosis and Multiple Vulvular Disorders Posted For Orthopaedic Surgery- A Pivotal Role of Continuous Spinal Analgesia
Authors: Dr Priyanka Bansal, Dr Savita Saini
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.118
Abstract
Introduction- The use of CSA (using epidural catheter as spinal catheter) has a number of perks to offer. The dose of the drug can be tailored to patient’s need and duration of procedure, with no limitation of drug dose and subsequent chances for GA.
Case Report- Our patient is an elderly female, presented with fracture trochanter in emergency deptt. Has multiple vulvular abnormalities along with lumbar spinal scoliosis.
Discussion- The technique of continuous spinal anaesthesia (CSA) is quite promising in elderly high risk pts in whom the chances of PDPH are very less. The use of minimal haemodynamic monitoring in CSA is supported by many works in literature.
Conclusion- CSA is a technique which needs to be introduced widely in our practice especially in elderly, cardiac, high risk pts, considering its lead in dose titration, reliability and reproducibility of its effect.
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