Continuous Spinal Anesthetic in a Patient with Severe Aortic Stenosis for Total Knee Arthroplasty

Patients with severe aortic stenosis represent a serious perioperative challenge for anesthesiologists when presenting for orthopedic surgery. Avoiding general anesthesia can be beneficial by averting the dramatic hemodynamic changes that can occur at induction and emergence. However, regional anesthesia can similarly produce significant alterations in sympathetic tone in blocked regions. We discuss the successful use of a continuous spinal anesthetic in a patient with severe aortic stenosis undergoing elective total knee arthroplasty. Citation: Jensen D, Young AC (2019) Continuous Spinal Anesthetic in a Patient with Severe Aortic Stenosis for Total Knee Arthroplasty. J Clin Anesth Pain Manag 3(1):51-52 Jensen and Young. J Clin Anesth Pain Manag 2019, 3(1):51-52 Open Access | Page 52 | technique safely for our patient and could be considered by anesthesiologists confronted with a similar scenario. Financial Disclosures