Hypertension pulmonaire et fracture du col fémoral : intérêt de la rachianesthésie continue |
| |
Authors: | J Turc A LamblinF Klack P-F WeyJ-Y Martinez |
| |
Institution: | Département d’anesthésie réanimation urgences, hôpital d’instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France |
| |
Abstract: | Anaesthetic management of patients with pulmonary hypertension is challenging and alternatives to general anaesthesia are encouraged. We report anaesthetic management of two patients with pulmonary hypertension admitted for femoral neck fracture. In order to reduce the risk of right-sided heart failure and systemic hypotension, it was decided to operate the patients under continuous spinal anaesthesia. Anaesthesia was induced with excellent hemodynamic tolerance. Quality and extension of the block was correct and allowed surgery. No postoperative complication was observed. These cases suggest that continuous spinal anaesthesia may be considered for the management of patients with pulmonary hypertension undergoing femoral neck fracture surgery. |
| |
Keywords: | Rachianesthé sie continue Hypertension pulmonaire Fracture du col fé moral |
本文献已被 ScienceDirect 等数据库收录! |