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09:23
Surgical Technique for Spinal Cord Delivery of Therapies: Demonstration of Procedure in Gottingen Minipigs
Published on: December 7, 2012
[Continuous spinal anesthesia using bupivacaine. Report of experiences]
1Institut für Anaesthesie und Reanimation, Kantonsspital Luzern.
Regional-Anaesthesie
|July 1, 1988
Summary
Continuous spinal anesthesia is a safe and effective regional anesthesia technique for elderly, high-risk patients undergoing surgery. This method allows for stepwise block progression and careful cardiovascular monitoring, minimizing complications.
Area of Science:
- Anesthesiology
- Neurosurgery
- Geriatric Medicine
Context:
- Continuous spinal anesthesia offers advantages in managing high-risk patients.
- Geriatric patients present unique challenges for anesthesia management.
- Postspinal headache is a concern, particularly in elderly populations.
Purpose:
- To evaluate the safety and efficacy of continuous spinal anesthesia in geriatric high-risk patients.
- To assess the feasibility of continuous spinal anesthesia for common surgical procedures in the elderly.
- To report institutional experience with continuous spinal anesthesia in this patient cohort.
Summary:
- Continuous spinal anesthesia was administered to 157 geriatric patients (mean age 80.4 years, 70.7% ASA 3-5).
- Common indications included hip fractures (61.8%) and vascular occlusions (23.6%).
- Surgery was completed under regional anesthesia in 155 cases, with minor technical issues and few conversions to general anesthesia.
Impact:
- Continuous spinal anesthesia is a viable and effective option for geriatric high-risk surgical patients.
- This technique facilitates stepwise block titration and hemodynamic monitoring.
- It demonstrates a low rate of conversion to general anesthesia and manageable technical challenges.
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