title: [Pulmonary hypertension and femoral neck fracture: interest of continuous spinal anaesthesia].
abstract: Anaesthetic management of patients with pulmonary hypertension is challenging and alternatives to general anaesthesia are encouraged. We report anaesthetic management of two patients with pulmonary hypertension admitted for femoral neck fracture. In order to reduce the risk of right-sided heart failure and systemic hypotension, it was decided to operate the patients under continuous spinal anaesthesia. Anaesthesia was induced with excellent hemodynamic tolerance. Quality and extension of the block was correct and allowed surgery. No postoperative complication was observed. These cases suggest that continuous spinal anaesthesia may be considered for the management of patients with pulmonary hypertension undergoing femoral neck fracture surgery.
authors.affiliation: Département d'anesthésie réanimation urgences, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France. jeanturc@free.Fr
authors.forename: J
authors.initials: J
authors.lastname: Turc
authors.forename: A
authors.initials: A
authors.lastname: Lamblin
authors.forename: F
authors.initials: F
authors.lastname: Klack
authors.forename: P-F
authors.initials: PF
authors.lastname: Wey
authors.forename: J-Y
authors.initials: JY
authors.lastname: Martinez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000775:Anesthesia, Spinal / Q000379:methods; D001281:Atrial Fibrillation / Q000150:complications; D002404:Catheterization; D004562:Electrocardiography; D005265:Femoral Neck Fractures / Q000150:complications* / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D006976:Hypertension, Pulmonary / Q000150:complications*; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D016343:Monitoring, Intraoperative; D019637:Orthopedic Procedures; D011183:Postoperative Complications / Q000453:epidemiology