[Anesthesia procedures and perioperative patient monitoring in chemonucleolysis]

Premedication with H1 and H2 blockers as well as cortisone to reduce or prevent allergic reactions should be an integral part of the overall treatment. The facilities for immediate treatment of anaphylactic reactions including cardiopulmonary resuscitation must be readily available. Our haemodynamic measurements allow us to give a negative answer to the question--so far not investigated in man--whether the use of chymopapain or of its fragments leads to constant cardiocirculatory effective reactions in the early phase. Our experiences collected so far favour catheter peridural anaesthesia as the method of choice in chemonucleolyses.