Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Comparison between hemodynamic changes after single-dose and incremental subarachnoid anesthesia

A Casati1, A Zangrillo, G Fanelli

  • 1Department of Anesthesiology, Instituto de Ricovera e Cura a Carattere Scientifico Hospital San Raffaele, University of Milan, Italy.

Regional Anesthesia
|July 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

An Altered Metabolism in Leukocytes Showing <i>in vitro</i> igG Memory From SARS-CoV-2-Infected Patients.

Frontiers in molecular biosciences·2022
Same author

[Dexamethasone in COVID-19: does one drug fit all?]

Medicina intensiva·2022
Same author

Publisher Correction: Viral clearance after early corticosteroid treatment in patients with moderate or severe covid-19.

Scientific reports·2021
Same author

Dexamethasone in COVID-19: does one drug fits all?

Medicina intensiva·2021
Same author

Viral clearance after early corticosteroid treatment in patients with moderate or severe covid-19.

Scientific reports·2020
Same author

The Fragility Index in peri-operative randomised trials that reported significant mortality effects in adults.

Anaesthesia·2019
Same journal

Labor analgesia and anesthesia in a patient with spinal muscular atrophy and vocal cord paralysis.

Regional anesthesia·1998
Same journal

Unilateral spinal anesthesia: fact or fiction?

Regional anesthesia·1998
Same journal

Versatile technology: anesthetic application of an implantable pump.

Regional anesthesia·1998
Same journal

A simplified maneuver for transarterial approach to axillary block for use by a single anesthesiologist--more explanation.

Regional anesthesia·1998
Same journal

Use of the pulse oximeter for teaching axillary nerve block.

Regional anesthesia·1998
Same journal

Response to Dr. Neal's comments and to paper by Dr. Rathmell et al.

Regional anesthesia·1998
See all related articles

Incremental subarachnoid anesthesia using a microcatheter provides adequate anesthesia with minimal cardiovascular changes. This method avoids the significant blood pressure drops seen with single-shot spinal anesthesia in healthy patients.

Area of Science:

  • Anesthesiology
  • Cardiovascular Physiology

Background:

  • Subarachnoid anesthesia is known to depress sympathetic tone.
  • Hemodynamic stability during anesthesia is crucial for patient outcomes.

Purpose of the Study:

  • To compare the cardiovascular response to incremental subarachnoid anesthesia via microcatheter versus single-shot spinal anesthesia.
  • To evaluate the safety and efficacy of a novel incremental anesthesia delivery method.

Main Methods:

  • 26 patients (ASA I-II, 45-65 years) were randomized into single-shot spinal anesthesia (SSA) or continuous subarachnoid anesthesia (CSA) groups.
  • CSA involved incremental 5-mg boluses via microcatheter every 10 minutes.
  • Hemodynamic parameters (heart rate, blood pressure, cardiac index) were monitored pre- and post-anesthesia.

Related Experiment Videos

Main Results:

  • No neurologic sequelae or procedural complications were observed.
  • Arterial blood gas parameters remained stable in both groups.
  • The SSA group experienced significant reductions in blood pressure, while the CSA group did not.

Conclusions:

  • Incremental subarachnoid anesthesia via microcatheter offers adequate anesthesia with minimal hemodynamic impact.
  • This technique is a viable alternative for maintaining cardiovascular stability during subarachnoid anesthesia in healthy patients.