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CASE REPORT
Year : 2007  |  Volume : 51  |  Issue : 6  |  Page : 538-540

Lumbar epidural anaesthesia for fixation of intertrochanteric fracture in a 108 year old elderly patient


1 P.G.Student, Department of Anaesthesia, Rajendra Institute of Medical Sciences, Ranchi-834009, Jharkhand, India
2 M.D. Assistant Professor, Department of Anaesthesia, Rajendra Institute of Medical Sciences, Ranchi-834009, Jharkhand, India
3 M.D. Associate Professor, Department of Anaesthesia, Rajendra Institute of Medical Sciences, Ranchi-834009, Jharkhand, India

Correspondence Address:
Simant Kumar Jha
Department of Anaesthesia, Rajendra Institute of Medical Sciences, Ranchi-834009, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


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Perioperative morbidity and mortality in elderly patients continues to be an important problem.As the patient was 108 year old, it was a rare case to be reported. Seeing his age & compromised cardiac function we planned for epidural anaesthesia. Epidural anaesthesia has a distinct advantage over general anaesthesia in terms of improved pulmonary & myocardial function, less chances of thromboembolism due to early mobilization, less blood loss due to lowered MAP & lastly postoperative analgesia provided through catheter, reduces perioperative morbidity and mortality. So elderly patients can have good quality of life even this age & choice of anaesthesia plays a very important role.


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