Spinal Anesthesia Using Ultra-Low-Dose Isobaric Bupivacaine with Intrathecal Morphine-Fentanyl for Bilateral Low Extremity Procedures in a Geriatric Patient with Recent Myocardial Infarction and Percutaneous Coronary Intervention
| Autor: | Linea Nanyalo-Nashima, Nicola Olivier, Ambrose Rukewe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_treatment
geriatric Case Report isobaric bupivacaine Fentanyl 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine Myocardial infarction Bupivacaine Gangrene business.industry percutaneous coronary intervention Percutaneous coronary intervention medicine.disease bilateral lower extremity operations recent myocardial infarction Anesthesiology and Pain Medicine Amputation ultra-low-dose Anesthesia Morphine Isobaric process business medicine.drug |
| Zdroj: | Local and Regional Anesthesia |
| ISSN: | 1178-7112 |
| Popis: | A recent inferior ST-elevation myocardial infarction and percutaneous coronary intervention in an elderly female patient scheduled for bilateral lower extremity operations simultaneously represent significant risks for re-infarction and mortality. Our index patient required an above-knee amputation of the left leg to prevent infection/progressing gangrene as well as application of a back-slab for the conservative management of a fractured right femur. We employed spinal injection of ultra-low-dose 0.5% isobaric bupivacaine 4 mg with morphine 75 mcg plus fentanyl 10 mcg which provided adequate anesthesia for radical amputation, effective postoperative analgesia and good hemodynamic stability. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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