Regional Anesthesia for High-Risk Patients Undergoing Total Knee Arthroplasty: A Case Report.
| Autor: | Alturki AA; Department of Orthopedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU., Aljaafri ZA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Alshabraqi H; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Hassan I; Department of Anesthesia, Dr. Sulaiman Al-Habib Hospital, Riyadh, SAU., Alturki A; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU., Alhandi AA; Department of Orthopedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Feb 29; Vol. 16 (2), pp. e55269. Date of Electronic Publication: 2024 Feb 29 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.55269 |
| Abstrakt: | Total knee arthroplasty (TKA) is a commonly performed surgery for individuals experiencing advanced knee osteoarthritis. Patients undergoing TKA can present with a variety of comorbidities, ranging from the absence of chronic illnesses to the presence of multiple health conditions. The complexity of these comorbidities can pose challenges in carrying out the desired procedure due to the elevated risk profile; this limits the anesthesia modalities that the physician can utilize. Careful consideration of patients' overall health status and personalized anesthesia approaches are crucial to ensure optimal outcomes in this diverse patient population. This case involves an eighty-year-old male with a history of multiple comorbidities who underwent a left TKA. The patient presented a high-risk profile during evaluation, classified as American Society of Anesthesiology (ASA) class IV, which made general and neuraxial anesthesia unfavorable due to high risks. Regional anesthesia was utilized as the sole modality of anesthesia and was successful. This demonstrates that regional anesthesia is a viable option when attending to patients with high risks associated with other anesthesia modalities. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Alturki et al.) |
| Databáze: | MEDLINE |
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