Open AccessGeriatric Anaesthesia for Centenarians- A Challenging, Learning Experience!
Author(s) -
Uma Hariharan,
Vijay Kumar Nagpal,
Devang Bharti,
Shubhi Singhal Bharti
Publication year - 2019
Publication title -
journal of the indian academy of geriatrics
Language(s) - English
Resource type - Journals
eISSN - 0974-3405
pISSN - 0974-2484
DOI - 10.35262/jiag.v15i2.75-78
Subject(s) - medicine , delirium , general anaesthesia , postoperative cognitive dysfunction , anesthesia , spinal anesthesia , population , cognition , intensive care medicine , psychiatry , environmental health
With improving healthcare facilities, the geriatric population in India is on the rise. Anaesthesia in the geriatric age group poses many challenges to the peri-operative physician because of the decreased functional reserve and various comorbidities associated with advanced age. In addition to that, there is greater risk of post-operative cognitive dysfunction and delirium. Anaesthesia in patients above 100 years is a sub-speciality in itself, with several special considerations. We, hereby present the case of a 102-year-old female patient with severe aortic stenosis posted for left-sided dynamic hip screw fixation on an emergency basis under low dose, unilateral spinal anaesthesia, supplemented with slow and graded epidural anaesthesia.