title: Spinal anaesthesia and non-invasive positive pressure ventilation for hip surgery in an obese patient with advanced chronic obstructive pulmonary disease.
abstract: We describe the use of non-invasive positive pressure ventilation combined with spinal anaesthesia to allow the insertion of a dynamic hip screw in an obese patient with advanced chronic obstructive pulmonary disease. The technique avoided the hazards of intubation and general anaesthesia in this high-risk patient.
authors.affiliation: Anaesthetic Department, Mayday University Hospital, Croydon, Thornton Heath, Surrey CR7 7YE, UK. leechj@yahoo.com
authors.forename: C J
authors.initials: CJ
authors.lastname: Leech
authors.forename: R
authors.initials: R
authors.lastname: Baba
authors.forename: M
authors.initials: M
authors.lastname: Dhar
mesh_terms: D000368:Aged; D000775:Anesthesia, Spinal / Q000379:methods*; D001863:Bone Screws; D005260:Female; D005272:Femur Neck / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000379:methods*; D009765:Obesity / Q000150:complications*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications*