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Long duration subarachnoid anaesthesia with continuous epidural block.

Praktische Anasthesie, Wiederbelebung Und Intensivtherapie

|February 1, 1979

Summary

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[Severe pain relief with intrathecal infusion. The patient controls, treatment can be provided at home].

Lakartidningen·1998

This study evaluated a combined spinal and epidural anesthesia technique using Dixidextracaine-70 in 150 patients. The method offers prolonged, high-quality anesthesia for complex surgeries with minimal toxicity, despite a longer induction time.

Area of Science:

Anesthesiology
Surgical Procedures

Background:

Continuous epidural block combined with spinal anesthesia offers advantages for prolonged surgical procedures.
Dixidextracaine-70, a specific anesthetic mixture, was utilized in this combined technique.

Purpose of the Study:

To evaluate the efficacy and safety of a combined spinal and continuous epidural block using Dixidextracaine-70.
To assess the advantages and disadvantages of this anesthetic approach in a clinical setting.

Main Methods:

A combined spinal and continuous epidural block was administered to 150 patients.
The anesthetic agent used was Dixidextracaine-70 (xylocaine, percaine, Dextran-70).
The study involved monitoring anesthetic quality, duration, and patient outcomes.

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Main Results:

The technique provided high-quality, prolonged conduction anesthesia suitable for extensive surgical fields.
Advantages included minimal toxicity, reduced postoperative pulmonary complications, and cost-effectiveness.
Disadvantages involved the need for two punctures, longer induction, and potential difficulty locating the subarachnoid space.

Conclusions:

The combined spinal-epidural anesthesia with Dixidextracaine-70 is a viable option for various surgical scenarios, especially in high-risk patients.
Indications include subdiaphragmatic surgery, multi-regional procedures, and patients with increased anesthetic risk.
The technique is safe, with minimal specific incidents, and offers significant clinical and economic benefits.