Title : Successful anesthesia management with Intrathecal catheter for a hip replacement in a patient with recent L3 thrombosis, severe heart failure, sleep apnea and diabetes: A Case Report
Abstract:
Intrathecal catheters are a vital component in contemporary anesthesia and pain management, allowing for highly targeted drug delivery directly into the cerebrospinal fluid (CSF). This approach minimizes systemic side effects and enhances the overall efficacy of the anesthetic. The use of intrathecal catheters provides several key advantages, such as maintaining stable hemodynamics, avoiding the need for airway manipulation, and delivering effective pain control throughout the surgical procedure. This case report describes the successful application of an intrathecal catheter for anesthesia during a challenging hip replacement surgery in a patient with a recent L3 thrombosis, an ejection fraction (EF) of 21%, sleep apnea, and diabetes. The patient’s complex medical history, characterized by significant comorbidities and a recent thrombotic event, presented substantial challenges for both anesthesia and surgical management. Continuous spinal anesthesia, facilitated by the intrathecal catheter, emerged as a highly valuable option for this high-risk patient, providing a safe and effective alternative to general anesthesia. The precision and effectiveness of the anesthesia delivered through the intrathecal catheter underscore the critical importance of tailored anesthesia strategies in managing patients with complex medical conditions. Overall, the use of intrathecal catheters represents a significant advancement in anesthesia and pain management, offering a reliable and effective technique for delivering care to patients undergoing various surgical procedures.
Audience Take Away Notes:
- Intrathecal Catheter Use
- Case-Specific Challenges
- Advantages Over General Anesthesia
- Anesthesia Technique Adaptation
