Anesthetic Management of a Patient with Severe Systolic Dysfunction Posted for Proximal Femur Fracture Fixation- A Case Report


Authors : Dr. Reem Rachal Roy; Dr. Sanhita Kulkarni

Volume/Issue : Volume 7 - 2022, Issue 11 - November


Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3GO80Ak

DOI : https://doi.org/10.5281/zenodo.7366171


Abstract : Proximal femur fractures are amongst the most common fractures in elderly people. As elderly patients present with multiple comorbidities including cardiac dysfunction, the anesthesia management in such cases can be quite challenging. We present a case report describing the successful anesthetic management of an elderly patient with severe systolic dysfunction posted for proximal fracture femur fixation. The importance of alternative anesthetic options to Sub-Arachnoid Block, especially Regional Anesthetic techniques, in elderly patients with left ventricular dysfunction, is emphasized.

Proximal femur fractures are amongst the most common fractures in elderly people. As elderly patients present with multiple comorbidities including cardiac dysfunction, the anesthesia management in such cases can be quite challenging. We present a case report describing the successful anesthetic management of an elderly patient with severe systolic dysfunction posted for proximal fracture femur fixation. The importance of alternative anesthetic options to Sub-Arachnoid Block, especially Regional Anesthetic techniques, in elderly patients with left ventricular dysfunction, is emphasized.

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