SUB-ARACHNOID BLOCK FOR AN ELDERLY PATIENT WITH CHRONIC RENAL FAILURE, RIGHT SIDE LOCULATED PNEUMOTHORAX AND WITH COMPLETE HEART BLOCK ON PACEMAKER
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 20
Abstract
Patients presenting for an elective or emergency surgery with pre-existing chronic renal failure (CRF) has certain anesthetic considerations. Central neuraxial block for these patients is controversial, because all these patients will be invariably on fluid restriction. If such patient presents with pulmonary complications and cardiac complications which are relative contraindications for general anesthesia then the anesthetic management becomes trickier. We had a patient with CRF, presented with inter-trochanteric fracture of femur for surgical fixation. The patient also had left side loculated pneumothorax, right side bronchiectatic changes and permanent cardiac pacemaker for complete heart block which were challenges for general anesthesia too. Finally the surgery was done under central neuraxial block with dopamine support successfully.
Authors and Affiliations
Krishna Prabu, Gunaseelan S
Keywords
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- EP ID EP148696
- DOI 10.14260/jemds/2014/2635
- Views 61
- Downloads 0
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