Spinal anaesthesia with intravenous sedation for total hip arthroplasty in two patients with a history of orthotopic heart transplantation
L. Tseng,
I. Al‐Saidi,
V. Channagiri
Abstract:SummaryMany patients with orthotopic heart transplantation later undergo non‐cardiac surgery. Historically, neuraxial anaesthesia has been avoided in these patients because the denervated heart is unable to compensate for hypotension via the baroreceptor reflex. Here, we present the cases of two patients with prior heart transplantation who underwent total hip arthroplasty under spinal anaesthesia with intravenous sedation. In both cases, this technique was well‐tolerated haemodynamically. We propose that spin… Show more
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