Related Experiment Videos
Spinal anesthesia and Ogilvie's syndrome
George A Mashour1, Robert A Peterfreund
1Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA.
Journal of Clinical Anesthesia
|April 6, 2005
Summary
Ogilvie's syndrome, a rare colonic pseudoobstruction, can be effectively treated with spinal anesthesia. This case study explores its impact on autonomic control of colonic motility.
Area of Science:
- Gastroenterology
- Anesthesiology
- Autonomic Neuroscience
Background:
- Ogilvie's syndrome (acute colonic pseudoobstruction) is uncommon, often linked to medical conditions or psychiatric drugs.
- Standard treatments include cholinesterase inhibitors, colonic decompression, and surgery for severe cases.
Observation:
- A patient with functional colonic obstruction experienced resolution following spinal anesthesia.
- This suggests a potential role for neuraxial blockade in managing Ogilvie's syndrome.
Findings:
- Spinal anesthesia demonstrated a positive effect on resolving acute colonic pseudoobstruction.
- The study reviews the literature on neuraxial blockade and its effects on colonic motility in Ogilvie's syndrome.
Implications:
- Spinal anesthesia may offer a novel therapeutic option for Ogilvie's syndrome.
- Further research into the autonomic control mechanisms affected by neuraxial blockade is warranted.