Why the study?
Does spinal anesthesia provide safe perioperative outcomes in an elderly patient with multiple comorbidities undergoing hip fracture surgery?
Does spinal anesthesia provide safe perioperative outcomes in an elderly patient with multiple comorbidities undergoing hip fracture surgery?
Spinal anesthesia can be safely and effectively used in high-risk elderly patients with multiple severe comorbidities undergoing hip fracture surgery.
Spinal anesthesia feasible in this high-risk case; hypothesis-generating and should not yet change practice.
This case report delineates the anesthetic management of an 80-year-old male undergoing surgical fixation of a left femoral neck fracture, complicated by coronary artery disease, stage 5 chronic kidney disease, and type 2 diabetes mellitus. Utilizing spinal anesthesia, the anesthetic team achieved a successful perioperative outcome through rigorous preoperative optimization, precise intraoperative management, and comprehensive postoperative care. The absence of intraoperative complications highlights the efficacy of regional anesthesia in mitigating risks in high-risk elderly patients. This report underscores the pivotal role of tailored anesthetic strategies and interdisciplinary collaboration in optimizing outcomes for complex hip fracture cases, contributing to the evidence supporting regional anesthesia.
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Khalaf et al. (2025) studied this question.
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