International Journal of Contemporary Medicine
  • Year: 2015
  • Volume: 3
  • Issue: 1

Continuous Spinal Anesthesia for a Patient with Multiple Valvular Disease and Chronic Kidney Disease

1Senior Resident, Department of Anaesthesiology, Uttar Pradesh Rural Institute of Medical Sciences, Saifai, Etawah

2Lecturer, Department of Anaesthesiology, Uttar Pradesh Rural Institute of Medical Sciences, Saifai, Etawah

3Associate Professor, Depart of Medicine, Uttar Pradesh Rural Institute of Medical Sciences, Saifai, Etawah

Online published on 31 January, 2015.

Abstract

Elderly patients often have multiple comorbid conditions. We describe here anesthetic management of an elderly patient having rheumatic heart disease with severe aortic stenosis, severe mitral stenosis, severe pulmonary hypertension and chronic kidney disease planned for hemireplacement arthroplasty. We used continuous spinal anesthesia, an underutilized technique, which provided stable hemodynamic conditions without any complications in perioperative period.

Keywords

Continuous Spinal Anesthesia, Aortic Stenosis, Mitral Stenosis, Chronic Kidney Disease