Fukuda T, Okutani R, Kono K, Ishida H
Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya.
Masui. 1990 Jul;39(7):921-3.
We gave spinal anesthesia for a super-aged patient (104 year-old female) who underwent insertion of prosthesis for femoral neck fracture. One point eight ml of 0.3% dibucaine was used as local anesthetic, and the analgesic below Th10 level was obtained. To monitor the respiratory and circulatory functions during operation, pulse-oximeter and invasive arterial pressure were used. Dopamine and metaraminol were given to prevent hypotension and the operation was completed uneventfully. This anesthetic experience suggests that, for the anesthesia of a super-aged patient it is mandatory not only to clearly identify the complications and the physical features of the patient but also to explain to the patient the anesthetic as well as operative procedures. Besides, we have to manage elderly patients receiving spinal anesthesia carefully, considering intraoperative problems as well as the possibility of resorting to general anesthesia.
我们为一名超高龄患者（104岁女性）实施了脊髓麻醉，该患者因股骨颈骨折接受了假体植入手术。使用1.8毫升0.3%的丁卡因作为局部麻醉剂，获得了T10以下水平的镇痛效果。为监测手术过程中的呼吸和循环功能，使用了脉搏血氧仪和有创动脉压监测。给予多巴胺和间羟胺以预防低血压，手术顺利完成。这次麻醉经验表明，对于超高龄患者的麻醉，不仅必须清楚识别患者的并发症和身体特征，还必须向患者解释麻醉及手术过程。此外，我们必须谨慎管理接受脊髓麻醉的老年患者，考虑术中问题以及转为全身麻醉的可能性。
