Spinal anaesthesia and non-invasive positive pressure ventilation for hip surgery in an obese patient with advanced chronic obstructive pulmonary disease.
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.
Leech
C J
CJ
Anaesthetic Department, Mayday University Hospital, Croydon, Thornton Heath, Surrey CR7 7YE, UK. leechj@yahoo.com
Baba
R
R
Dhar
M
M
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*