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Article: Hypotension in elderly patients undergoing spinal anaesthesia for repair of fractured neck of femur. A comparison of two different spinal solutions
- Article from:
- Anaesthesia and Intensive Care
- Article date:
- October 1, 2001
- Author:
CopyrightCopyright Australian Society of Anaesthetists Oct 2001. Provided by ProQuest LLC. (Hide copyright information)
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SUMMARY
Intraoperative hypotension is a common and sometimes deleterious event in elderly patients undergoing spinal anaesthesia for repair of hip fractures. The synergism between intrathecal opioids and local anaesthetics may allow a reduction in the dose of local anaesthetic and reduce hypotension, while still maintaining adequate anaesthesia. We studied 42 elderly patients having insertion of a Richards pin and plate and compared 7.5 mg hyperbaric bupivacaine with added fentanyl 20 ug (group BF) to 12.5 mg hyperbaric bupivacaine alone (group B). Hypotension was defined as a fall in systolic blood pressure to less than 75% baseline or less than 90 mmHg and occurred with an overall ...