Case Report

Continuous Spinal Anaesthesia for Hip Fracture Surgery in a High-Risk Patient


  • Mehmet Aksoy
  • Mehmet Çömez
  • İlker İnce
  • Ali Ahıskalıoğlu
  • Mesut Mısırlıoğlu

Received Date: 19.01.2014 Accepted Date: 04.03.2014 Turk J Anaesthesiol Reanim 2015;43(1):55-57

Elderly patients have increased risk for perioperative mortality and morbidity due to additional comorbidities, such as cardiac diseases. Regional anaesthesia techniques are usually preferred in high-risk patients due to some advantages, such as the maintenance of cardiovascular stability and early postoperative mobilisation. This case presents the anaesthetic approach in a 55-year-old male patient with low ejection fraction that underwent hip fracture surgery. In this present case, continuous spinal anaesthesia with low-dose hyperbaric bupivacaine provided safe and effective anaesthesia during surgery with minimal haemodynamic changes and adequate analgesia during the first 24 hours after surgery.

Keywords: Continuous spinal anaesthesia, surgery, hip fracture, high-risk patient