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BJA Advance Access published online on April 27, 2007
British Journal of Anaesthesia, doi:10.1093/bja/aem093
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Spinal anaesthesia and non-invasive positive pressure ventilation for hip surgery in an obese patient with advanced chronic obstructive pulmonary disease

C. J. Leech1,2,*, R. Baba1 and M. Dhar1

1 Anaesthetic Department, Mayday University Hospital, 530 London Road, Croydon, Thornton Heath, Surrey CR7 7YE, UK
2 Kingston Hospital NHS Trust, Galsworthy Road, Kingston-Upon-Thames, Surrey KT2 7QB, UK

* Corresponding author: Kingston Hospital NHS Trust, Galsworthy Road, Kingston-Upon-Thames, Surrey KT2 7QB, UK. E-mail: leechcj{at}yahoo.com

We describe the use of non-invasive positive pressure ventilation combined with spinal anaesthesia to allow the insertion of a dynamic hip screw in an obese patient with advanced chronic obstructive pulmonary disease. The technique avoided the hazards of intubation and general anaesthesia in this high-risk patient.

Keywords: anaesthetic techniques, subarachnoid; complications, obesity; complications, obstructive airways disease; ventilation, intermittent positive pressure


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Spinal anaesthesia and non-invasive positive pressure ventilation- use in cardiac patients?
BALAMURUGAN RAMALINGAM
British Journal of Anaesthesia, 29 Jun 2007 [Full text]

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