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Navigating Complexity: Anesthesia for Hip Fracture Surgery in an Elderly Patient With Multiple Comorbidities
Ahmed A Khalaf1, Khaled S Abuamra1, Hatem Ibrahim1
1Department of Anesthesia, Dubai Hospital - Dubai Health, Dubai, ARE.
Cureus
|July 11, 2025
Summary
This case report shows spinal anesthesia is effective for elderly patients with hip fractures and multiple health issues. It highlights successful anesthetic management for high-risk surgical patients.
Area of Science:
- Anesthesiology
- Geriatric Medicine
- Orthopedic Surgery
Background:
- Anesthetic management for elderly patients with multiple comorbidities undergoing hip fracture surgery presents significant challenges.
- High-risk patients often require careful preoperative optimization and tailored intraoperative strategies to minimize perioperative morbidity.
Observation:
- An 80-year-old male with coronary artery disease, stage 5 chronic kidney disease, and type 2 diabetes mellitus underwent surgical fixation of a left femoral neck fracture.
- The patient received spinal anesthesia as the primary anesthetic technique.
Findings:
- The anesthetic team successfully managed the patient's complex medical conditions throughout the perioperative period.
- No intraoperative complications were reported, indicating the safety and efficacy of spinal anesthesia in this high-risk cohort.
- Comprehensive preoperative, intraoperative, and postoperative care contributed to a favorable outcome.
Implications:
- This case report supports the use of regional anesthesia, specifically spinal anesthesia, for high-risk elderly patients with hip fractures.
- Tailored anesthetic strategies and interdisciplinary collaboration are crucial for optimizing outcomes in complex orthopedic cases.
- The findings contribute to the growing evidence base for regional anesthesia in geriatric surgical patients.
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