Abstract

Atrial fibrillation can be encountered in preoperative work-up, yet there is no single anaesthetic technique that seems superior to another for intraoperative management. Here we present a case series of 5 cases with preoperative atrial fibrillation who underwent surgical procedures under spinal anaesthesia. Out of the 5 patients 2 of them received combined spinal epidural anaesthesia. From the management of these cases, we can infer that with proper preoperative evaluation, correction of precipitating factors of atrial fibrillation, adherence to anticoagulation, timely withholding of anticoagulation when possible, vigilant monitoring in the intra and postoperative period and use of appropriate vasopressors, neuraxial blockade can be used safely in patients with atrial fibrillation.

Description

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