ArticleCase reports in anesthesiology2026
Continuous Spinal Anesthesia in a High-Risk Patient With Pulmonary Hypertension Undergoing Hip Fracture Repair: A Case Report.
Article in Case reports in anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
This report describes the successful use of continuous spinal anesthesia (CSA) in a 70-year-old woman with severe pulmonary hypertension (PH), right ventricular (RV) dysfunction, and obstructive sleep apnea (OSA) undergoing hip fracture repair. The perioperative challenge was to manage a patient at high risk of hemodynamic decompensation and severe gas exchange impairment. CSA allowed preservation of spontaneous ventilation and incremental titration of local anesthetic, while hemodynamic stability was maintained with early norepinephrine support. This case illustrates the importance of individualized, pathophysiology-based anesthetic planning in high-risk cardiopulmonary patients.
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