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Related Experiment Videos

Epidural anesthesia during lower extremity free tissue transfer.

W B Strecker1, M B Wood, D J Wedel

  • 1Department of Orthopedics, Mayo Clinic, Rochester, MN 55905.

Journal of Reconstructive Microsurgery
|July 1, 1988
PubMed
Summary

Continuous epidural bupivacaine infusion provided effective anesthesia for lower extremity free tissue transfer. This technique offered surgical anesthesia, sympathectomy effects, and prolonged postoperative pain relief with minimal general anesthesia.

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Area of Science:

  • Anesthesiology
  • Surgical Oncology

Background:

  • Lower extremity free tissue transfer requires effective anesthesia and postoperative pain management.
  • General anesthesia supplementation is often necessary for prolonged procedures, increasing risks.
  • Epidural anesthesia offers potential benefits for perioperative pain and sympathectomy.

Purpose of the Study:

  • To evaluate the efficacy and safety of continuous epidural bupivacaine infusion for lower extremity free tissue transfer.
  • To assess the need for general anesthesia supplementation with this technique.
  • To determine the perioperative and postoperative effects, including analgesia and sympathectomy.

Main Methods:

  • Twenty patients undergoing lower extremity free tissue transfer received continuous epidural bupivacaine infusion.

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  • Sixty percent of patients received nitrous oxide supplementation for comfort.
  • The technique was also used for subsequent operative procedures in seven patients.

    • Main Results:

    • Continuous epidural bupivacaine infusion provided adequate surgical anesthesia in all patients.
    • No obvious untoward effects were observed.
    • The technique facilitated prolonged postoperative analgesia and demonstrated a sympathectomy effect.

    Conclusions:

    • Continuous epidural bupivacaine infusion is a simple and effective anesthesia technique for lower extremity free tissue transfer.
    • It minimizes the need for general anesthesia supplementation.
    • The technique offers significant perioperative and postoperative benefits, including pain relief and sympathectomy.