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Journal of Anesthesia, Analgesia and Critical Carevolume 4, Article number: 59 (2024) Cite this article
Anaesthesia in the frail patient
A1 When a heart transplanted patient needs major abdominal surgery: is “awake neuraxial anesthesia” an option?
L. Mori, B. Basta, D. Vailati, E. Bonvecchio, G. Marino
Anesthesia and Intensive Care, Melegnano Hospital-ASST Melegnano e Martesana, Vizzolo Predabissi, Vizzolo Predabissi (Milano), Italy
Correspondence: L. Mori
Journal of Anesthesia, Analgesia and Critical Care 2024, 4(1):A1
Background
In the surgical population, comorbidities, aging, and frailty are increasingly prevalent [1]. The decision to operate was sometimes challenging due to the difficult balancing of risks versus benefits. Many efforts are undertaken in order to minimize anesthesiological and surgical impact on physiological status and so to reduce perioperative complications. In this context a possible anesthesiological strategy for abdominal surgery is the so called “Awake Neuraxial Anesthesia”, that combines neuraxial anesthesia and mild sedation, keeping patient in spontaneous breathing.
Case report
A 72-year-old man, with Marfan syndro
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