[Methods and indications for low peridural analgesia in the aged. Report of 300 cases]

Continuous peridural analgesia took a long time to be accepted in current practice in surgery of the elderly, owing to the apprehensions for the possible cardiovascular consequences and also, the difficulty in using this form of anaesthesia in the elderly. The experience of more than 300 cases, collected in the Nice department of Anesthetics and Intensive Care, has shown that: 1--technical failures are exceptional with routine use of prior epidurography; 2--its indications depend on the site and type of surgery and on the clinical conditions of the patient; 3--until now, there have been no severe complications due to this method whatever the degree and number of morbid conditions; 4--in the elderly subject, the importance of problems of pre and post-operative analgesia have led us to enlarge the indications for long-term peridural analgesia. Peridural anesthesia may be used as a routine when the site of the operation involves areas situated below the IXth metamere. This shows its importance in surgery in the elderly.