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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/6392

Title: Continuous spinal anaesthesia and analgesia in high-risk patients undergoing abdominal surgery
Authors: Gülçin, Ö.
Kaya, Mensure
Gonca, T.
Özgür, C.
Saadet, D.
Serpil, S.
Nihal, K.
Keywords: Anaesthetic technique, continuous spinal anaesthesia, analgesia, postoperative, patients, high-risk, humans.
Issue Date: 31-Dec-2006
Publisher: Medknow Publications on behalf of Association of Surgeons of India
Citation: Indian Journal of Surgery (ISSN: 0972-2068) Vol 68 Num 2
Abstract: Background: Continuous spinal anaesthesia has been used as a possibly safer technique than general anesthesia alone, in high-risk patients with a more predictable effect and lesser hemodynamic and respiratory repercussions. Aim: To evaluate the consequences of continuous spinal anaesthesia and analgesia, in 52 high-risk patients undergoing major abdominal surgery. Settings and Design: Operating room and postanaesthesia care unit of an oncology hospital; a prospective study. Materials and Methods: After inserting the 22 gauge spinal catheter, plain 0.5% Bupivacaine 7.5 mg was administered through the catheter. Additional doses of Bupivacaine 2.5 mg were given, until a sensory T 4 level and total dose was noted. The postoperative analgesia involved a continuous intrathecal infusion of Sufentanil 1 mg h -1 with Bupivacaine 1 mg h -1. Pain scores and side effects were assessed at 1, 2, 4, 6, 12, 18 and 24 h after the surgery. Results: The dose of Bupivacaine required to achieve the sensory T 4 level, was 13.1±4.5 mg. Forty percent of patients had hypotension and were easily controlled by the intermittent intravenous bolus of Ephedrine (22.2±16.8 mg). The technique provided effective analgesia with low dynamic and static pain scores and a low incidence of minor side effects such as nausea (14%), vomiting (6%) and pruritis (22%). Statistical Analysis: Kolmogorov Smirnov test was used to analyze the distribution of the data. Data are presented as mean ± SD, median, range or percentages. Conclusions: We concluded that continuous spinal anaesthesia and analgesia for the perioperative management could be performed effectively and safely, in high-risk patients with minimal adverse effects.
URI: http://hdl.handle.net/1807/6392
Other Identifiers: http://www.bioline.org.br/abstract?id=is06020
Rights: Copyright 2006 Indian Journal of Surgery.
Appears in Collections:Bioline International Legacy Collection

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