Anaesthesia Viva

Fractured Hip with Multiple Comorbidities

Reading Time

2:00

Clinical Stem

2022.1
A 75-year-old woman presented to the emergency department following a fall in which she sustained a fractured right hip. She has no other injuries and is cognitively intact. She has been scheduled for a right hemiarthroplasty as the first case on the operating list tomorrow morning. Past medical history Polymyalgia rheumatica Chronic alcohol consumption (60 g per day) Previous deep vein thrombosis with pulmonary embolism Chronic kidney disease Height: 162cm Weight: 61kg Medications Fluoxetine 40 mg mane Perindopril/indapamide 5 mg/1.25 mg mane Prednisolone 15 mg mane Rivaroxaban 15 mg mane Rosuvastatin 20 mg mane Blood test results on admission to the emergency department: Haemoglobin 82 g/L (115-160) Platelets 117 x10^9/L (150-450) Na+ 127 mmol/L (135-145) K+ 4.2 mmol/L (3.5-5.5) Cl- 103 mmol/L (95-110) HCO3- 20 mmol/L (20-32) Urea 12 mmol/L (2.5-7.0) Creatinine 145 mmol/L (45-95) eGFR 30 mL/min/1.73m2 (>90) Albumin 26 g/L (33-46) A cardiac rhythm strip was printed in the Emergency Department.

Sections covered in this viva

Preoperative AssessmentGeneral Anaesthesia ManagementDelayed Recovery and Hyponatraemia

Or wait for the reading time to complete