07 / Anaesthesia · Simulation
The 84-year-old with a hip
Anaesthesia for a fragility fracture: doses that respect an old circulation, the pressure line that must not sag, heat that must not leak, and a wake-up judged in whispers.
Hip fracture fixation (dynamic hip screw)84 y female · 52 kg · ASA 3Fell at home, next-day list. Hypertension, moderate aortic stenosis on last year's echo, a touch of morning confusion since admission. Weighs 52 kg.
Hip fracture fixation (dynamic hip screw) · min 0 · Pre-induction
- HR
- 76
- SpO2
- 95%
- NIBP
- 148/82
- EtCO2
- 0.0 kPa
- RR
- 16
- Temp
- 36.2°
Pre-induction
min 0 · step 1/6
The team reviews her: the murmur, the creatinine, the analgesia chart showing a fascia iliaca block already working. GA with invasive pressure monitoring is the plan today.
What single fact about her aortic stenosis most changes the anaesthetic?
The case waits for your decision.
Teaching values for the printed patient, not a prescribing reference. The drug cart holds every drug here with its class, concentration and dose logic.