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CASE REPORT
Year : 2019  |  Volume : 15  |  Issue : 2  |  Page : 75-78

Geriatric Anaesthesia for Centenarians- A Challenging, Learning Experience!


1 Associate Professor, Anaesthesiology and Intensive Care, Dr Earn Manohar Lohia Hospital & Post Graduate Institute of Medical Education and Research, New Delhi, India
2 Senior Specialist & Consultant, Anaesthesiology, Dr RMLH & PGIMER, New Delhi, India
3 Senior Resident, Anaesthesiology, Dr RMLH & PGIMER, New Delhi, India

Correspondence Address:
Uma Hariharan
Associate Professor, [MBBS, DNB, MNAMS, PGDHM, CCEPC, FICA, DESA], BH -41, East Shalimar Bagh, Delhi 110088
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.35262/jiag.v15i2.75-78

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With improving healthcare facilities, the geriatric population in India is on the rise. Anaesthesia in the geriatric age group poses many challenges to the peri-operative physician because of the decreased functional reserve and various comorbidities associated with advanced age. In addition to that, there is greater risk of post-operative cognitive dysfunction and delirium. Anaesthesia in patients above 100 years is a sub-speciality in itself, with several special considerations. We, hereby present the case of a 102-year-old female patient with severe aortic stenosis posted for left-sided dynamic hip screw fixation on an emergency basis under low dose, unilateral spinal anaesthesia, supplemented with slow and graded epidural anaesthesia.


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