Continuous Spinal Anaesthesia as an Alternative Mode of Anaesthesia in High - Risk Patients - A Case Report

Dr. Aishwarya CS, Dr. Monica Lourdhu Manoharan, Dr. Nirmala B C

Abstract: A 56 - year - old female, presented to the emergency department with complaints of fever and multiple discharging wounds on her right knee. Her medical history included ischemic heart disease (IHD) with reduced ejection fraction and uncontrolled diabetes mellitus. She was posted for emergency wound debridement under high risk. Due to difficult epidural catheter placement, the anaesthetic technique used was Continous spinal anaesthesia, which provided better haemodynamic stability and lesser peri - operative complications. This case report highlights the use of Continous spinal anaesthesia in high - risk patients, which uses titrated doses of local anaesthetic providing segmental blocks, better intra - operative vitals and lesser complications associated with co - morbid conditions.

Keywords: emergency department, discharging wounds, ischemic heart disease, uncontrolled diabetes, continuous spinal anaesthesia