Why the study?
Patients with congestive heart failure have a high risk of perioperative cardiac events, and evidence is scarce on the safety of specific anesthetic techniques to maintain hemodynamic stability.
Does selective spinal anesthesia prevent complications in a patient with low ejection fraction undergoing emergent lower limb surgery?
Does selective spinal anesthesia prevent complications in a patient with low ejection fraction undergoing emergent lower limb surgery?
Selective spinal anesthesia may be a safe alternative for emergent lower limb surgery in high-risk patients with severe heart failure and low ejection fraction, particularly in resource-constrained settings.
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May support selective spinal anesthesia in severe heart failure; hypothesis-generating and requires prospective trials before practice change.
Mulugeta et al. (2020) studied this question.
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