Abstract
We analyzed the perioperative complications under spinal anesthesia in 400 eldery patients with hip fracture surgery. Analgesia was fixed of lower than Th10 in all patients.
Hypertension was the highest in preoperative complications. In intra-operative complications, the incidences of hypotention and decrease in percutaneous oxygen saturation (SpO2) were high. Within the 7th post-operative day, some patients had the recurrence or onset of myocardial infarction, cerebral infarction or renal dys-function. Two patients died due to acute myocardial infarction. None of the patients had the typical deep vein thrombosis, but 3 patients had pulmonary infarction.
The results suggest that intraoprative hypotension might cause some post-operative complications under spinal anesthesia in eldery patients undergoing hip fracture surgery, and thus the hemodynamic control would be the most important.
