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[Effectiveness of combined spinal anesthesia].
Klinicheskaia Khirurgiia
|January 1, 1992
Summary
Combined spinal anesthesia using lignocaine and morphine provided effective pain relief for appendectomy patients, lasting over 26 hours with minimal respiratory side effects. However, hypotension occurred in half of the patients.
Area of Science:
- Anesthesiology
- Pharmacology
Context:
- Appendectomy is a common surgical procedure.
- Patients with anesthesiologic risk require careful anesthetic management.
Purpose:
- To evaluate the efficacy and safety of combined spinal anesthesia with lignocaine and morphine for appendectomy in high-risk patients.
Summary:
- Combined spinal anesthesia with hyperbaric lignocaine (69.4 mg) and morphine (0.3 mg) was administered to 50 high-risk patients undergoing appendectomy.
- Effective intraoperative anesthesia was achieved in 96.2% of cases, with a mean postoperative analgesia duration of 26.8 hours.
- No respiratory depression or hyperalgesia was observed. Intraoperative hypotension occurred in 50.1% of patients, with post-operative nausea (20%), vomiting (6%), itching (22%), and shivering (2%) reported.
Impact:
- This anesthetic technique offers prolonged postoperative pain relief for appendectomy patients.
- The study highlights the need to monitor for and manage intraoperative hypotension in this patient population.
- The findings contribute to optimizing anesthetic strategies for high-risk surgical candidates.