title: Successful anesthesia and hip surgery in a 107-year-old patient.
abstract: METHODS
  Female, 107.
  
  
  METHODS
  Hip fracture.
  
  
  METHODS
  -.
  
  
  METHODS
  -.
  
  
  METHODS
  Hip surgery.
  
  
  METHODS
  Orthopedics and Traumatology.
  
  
  OBJECTIVE
  Rare disease.
  
  
  BACKGROUND
  In modern societies, elderly populations have increased over the last four decades and have become the main clients of medical services. A hip fracture is a significant injury for anyone, but for older people it can be catastrophic.
  
  
  METHODS
  A 107-year-old female was admitted with fracture of the right hip. The patient took a single 200 mL carbohydrate drink orally two hours before surgery. Before induction of spinal anesthesia, routine monitoring was started and an intravenous line was placed. Crystalloids and hydroxyethyl starch in 0.9% sodium chloride solution were administered intravenously during the operation. After sedation with i.v. ketamine and midazolam, spinal puncture was performed with the patient in the sitting position and isobaric bupivacaine were administered. The level of sensory block was observed in T12 and motor blockade (grade 3) of the lower limbs. The surgical procedure lasted 60 minutes without hypotension, bradycardia or decreased oxygen saturation. For safety reason, the patient was transferred to the ICU for monitoring; intravenous hydration was withdrawn and released oral feeding six hours after the end of surgery. The patient was sent to his residence on the morning of the second day.
  
  
  CONCLUSIONS
  This case showed that with suitable techniques and conduits can perform surgery in a patient with 107 years.
authors: Department of Anesthesiology, Faculdade de Medicina Nova Esperança, João Pessoa, Brazil.
authors: Luiz Eduardo
authors: LE
authors: Imbelloni
authors: Department of Orthopaedics, Complexo Hospitalar Mangabeira, João Pessoa, Brazil.
authors: Umberto
authors: U
authors: Lima
authors: Department of Orthopaedics, Complexo Hospitalar Mangabeira, João Pessoa, Brazil.
authors: Francisco Kartney
authors: FK
authors: Pedrosa
mesh_terms: D000369:Aged, 80 and over; D000775:Anesthesia, Spinal / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D010147:Pain Measurement
chemical_list: D000779:Anesthetics, Local