EN
Surgery procedures in the upper part of the abdomen cavity are performed routinely in general anaesthesia. High risk group patients, namely those with circulatory insufficiency, respiratory failure and with metabolic disorders pose a problem. In this group surgical treatment is applied for life indications and in emergency cases. Regional anaesthesia as an alternative for general anaesthesia makes planned surgical treatment possible for this group of patients.The study presents the case of a 63-year-old female afflicted with chronic obstructive pulmonary disease, ischaemic heart disease, cor pulmonale and arterial hypertension who underwent operation under spinal anaesthesia as planned.