Anestesia e Pesquisa Clínica
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Spinal Anesthesia for Lumbar Surgery in the Elderly Patient

James Kryzanski*, Michelle Olmos

A 22 year old primi diagnosed as Eisenmengers syndrome with severe pulmonary hypertension with bidirectional shunt and room air saturation of 78% was taken up for emergency caeserian section under thoracic segmental spinal anaesthesia with low volume isobaric 0.5% levobupivacaine and fentanyl. Patient was haemodynamically stable during the intraoperative and postoperative period and was discharged safely on the 10th postoperative day. Thoracic segmental spinal anaesthesia with isobaric levobupivacaine is a good alternative to epidural and general anaesthesia in patients with cardiac and respiratory diseases.