Continuous spinal anaesthesia with minimally invasive haemodynamic monitoring for surgical hip repair in two patients with severe aortic stenosis

Brazilian Journal of Anesthesiology
María Mercedes LópezFernando Gilsanz

Abstract

Aortic stenosis increases perioperative morbidity and mortality, perioperative invasive monitoring is advised for patients with an aortic valve area <1.0 cm(2) or a mean aortic valve gradient >30 mmHg and it is important to avoid hypotension and arrhythmias. We report the anaesthetic management with continuous spinal anaesthesia and minimally invasive haemodynamic monitoring of two patients with severe aortic stenosis undergoing surgical hip repair. Two women with severe aortic stenosis were scheduled for hip fracture repair. Continuous spinal anaesthesia with minimally invasive haemodynamic monitoring was used for anaesthetic management of both. Surgery was performed successfully after two consecutive doses of 2mg of isobaric bupivacaine 0.5% in one of them and four consecutive doses in the other. Haemodynamic conditions remained stable throughout the intervention. Vital signs and haemodynamic parameters remained stable throughout the two interventions. Our report illustrates the use of continuous spinal anaesthesia with minimally invasive haemodynamic monitoring as a valid alternative to general or epidural anaesthesia in two patients with severe aortic stenosis who are undergoing lower limb surgery. However, controlled clini...Continue Reading

References

Aug 24, 2004·International Journal of Obstetric Anesthesia·I A Velickovic, C H Leicht
Jan 29, 2005·International Journal of Obstetric Anesthesia·M Van de VeldeB Spitz
May 26, 2009·São Paulo Medical Journal = Revista Paulista De Medicina·Luiz Eduardo ImbelloniJosé Antonio Cordeiro
Jun 24, 2009·American Journal of Therapeutics·James M Moore
Jun 2, 2012·Journal of the American College of Cardiology·Jorge Parras

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Citations

Sep 1, 2019·Archives of Orthopaedic and Trauma Surgery·S J M SmeetsJ P A M Verbruggen

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