Safety of Unilateral Spinal Technique in Heart Failure in Orthopedic Surgeries in Elderly

Abstract

Hip fracture is an important and debilitating problem in elderly, and as the elderly population increases, the number of heart failure patients referred to operating rooms is also increasing. In this study, we examined the safety and effectiveness of spinal anesthesia in elderly patients with heart failure who underwent surgery due to hip fractures.

Method: In a clinical trial study, a total of 66 people equal or over 65 years of age with heart failure who were candidates of hip fracture surgery were included in the study. After induction of spinal block using 2.5-3 ml (12.5-15 mg) bupivacaine, the patient underwent surgery. The patient's hemodynamic status including SBP, DBP, HR and SpO2 during surgery and cardiovascular complications during surgery and until discharge, mortality in hospital and up to one month after surgery were evaluated.

Results: The characteristics of the patients were evaluated before and after induction of anesthesia, during surgery and during the recovery phase. The most important predictors of complication and mortality after surgery was related to the hemodynamic state. Initial and end-of-anesthesia systolic and diastolic blood pressure and saturation showed meaningful differences in the patient.