Lumbar epidural anaesthesia for fixation of intertrochanteric fracture in a 108 year old elderly patient

Abstract

Perioperative morbidity and mortality in elderly patients continues to be an important problem.As the patient was 108 year old, it was a rare case to be reported. Seeing his age & compromised cardiac function we planned for epidural anaesthesia. Epidural anaesthesia has a distinct advantage over general anaesthesia in terms of improved pulmonary & myocardial function, less chances of thromboembolism due to early mobilization, less blood loss due to lowered MAP & lastly postoperative analgesia provided through catheter, reduces perioperative morbidity and mortality. So elderly patients can have good quality of life even this age & choice of anaesthesia plays a very important role.

Keywords

• Elderly
• Epidural anaesthesia
• Mortality