Anaesthesia for Total Hip Replacement
A patient who is indicated for total hip replacement surgery on the right hip joint due to coxarthrosis is now lying on the operating table. The patient is sixty-nine-year-old Mr Kulhal who had a preoperative examination performed by medical dictor before the surgery (results see below), and also an examination at an anaesthetic out patient department, where the anaeshetist recommended preoperative discontinuation of the ACE inhibitor and a premedication by Lexaurin 3.0 mg PO. Autologous blood transfusion was not indicated. What type of anaesthesia is appropriate for this type of procedure?
EKG
rythm: sinus
action: regular
frequency: 79 bpm
ST segment normal, no arrhythmia
Examination
Examination:
PH: hypertension diagnosed 5 years ago (compensated), compensated DM type II, hyperlipidaemia
Medication: Perindopril (ACE inhibitor), Atorvastatin
Allergies: Acetylsalicylic acid (ASA)
Abuse: used to smoke 8-10 cigarettes per day, quit smoking 15 years ago, negates other addictive substances
Mallampati classification: class II
APTTR 0,9
Chest X-ray: normal
