Geriatric age group; Increased sensitivity to anesthetic drugs, respiratory, general anesthesia due to cardiac complicatioans and cognitive dysfunction in the postoperative period is restricted. Combined spinal epidural anesthesia compared to general anesthesia and cardiac and respiratory stabilization, the extension of the duration of anesthesia, rapid mobilization, postoperative pain control, the advantages of early discharge and a reduction in costs. High doses of spinal or epidural anesthesia alone hypotension, bradycardia, segment reduces the disadvantages of such involvement.

Hartmann procedure is a method used in complex patients, especially in emergency left column pathologies.

Due to sigmoid perforation emergency operations we planned 80-years-old, geriatric, severe chronic obstructive pulmonary disease (COPD) is located ASA-IV in male patients with combined spinal epidural technique for colostomy surgery, Hartmann procedure we aim to present our anesthetic experience.