Dialated Cardiomyopathy and End Stage Renal Disease with Renal Osteodystrophy for Bilateral transcervical fracture femur fixation

Dialated cardiomyopathy and End stage renal disease with renal osteodystrophy are associated with high perioperative morbidity and mortality. Administration of safe anaesthesia to these high risk patients requires knowledge of pathophysiology, associated systemic problems, potential complications and therapeutic modalities. We present the case of a patient posted for bilateral transcervical hip fracture conducted under combined spinal epidural anaesthesia and discuss the several advantageous of this technique.