Downloads: 4 | Views: 178 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Case Studies | Anaesthesiology | India | Volume 10 Issue 5, May 2021 | Popularity: 4.6 / 10
Combined Sequential Spinal Epidural Anaesthesia in Geriatric with a STOP BANG Score of 6 for Total Knee Replacement Surgery - The Anaesthesiologist Plight
Dr. P Veena, Dr. Hally T
Abstract: Background: Sequential combined spinal epidural anaesthesia (Sequential CSEA) is probably the greatest advance in central neuraxial block. Sequential combined spinal epidural anaesthesia is a safe, effective, reliable technique with stable haemodynamic along with provision of prolonging analgesia compared to spinal anaesthesia alone for high risk geriatric patients undergoing major orthopaedic surgery. Studies reveal that spinal anaesthesia combined with epidural technique has been shown to ameliorate the hyperglycemic as well as catecholamine surge to surgery1. We report a case of 65 year old obese patient with STOP BANG score of 6 with multiple comorbidities for Total knee replacement (TKR) under combined sequential spinal epidural anaesthesia with stable hemodynamics. To reduce the incidence and severity of hypotension a sequential combined spinal epidural technique has been described earlier in obstetric practice in which a spinal dose of local anaesthetic intended to be inadequate for surgery is used in an attempt to reduce hypotension but then the block is deliberately extended cephalad with the epidural drug.
Keywords: Sequential combined spinal epidural anaesthesia, Spinal anaesthesia, Hyperbaric Bupivacaine, Geriatric, Obesity, STOP BANG score
Edition: Volume 10 Issue 5, May 2021
Pages: 366 - 368
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 0
Masters Thesis, Anaesthesiology, India, Volume 11 Issue 11, November 2022
Pages: 542 - 546Comparison of Efficacy of Pre-Operative Oral Pregabalin versus Oral Gabapentin on Postoperative Analgesia in Patients undergoing Lower Abdominal Surgeries under Spinal Anaesthesia : A Prospective, Randomized, Controlled Study
K. K. Arora, Ritu Pauranik, Malathi Bhaskar
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 10 Issue 7, July 2021
Pages: 47 - 52Comparison of Phenylephrine, Ephedrine and Mephentermine for Control of Hypotension following Spinal Anaesthesia for Infra-Umbilical Surgeries
Dr. Shweta Naresh Satia, Dr. Sameer Kulkarni, Dr. Jyoti Kale
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 1107 - 1111Comparative Evaluation of Post Operative Urinary Retention of Intrathecal Bupivacaine and Ropivacaine in Lowerlimb Orthopaedic Surgeries
Dr. Vennam Naga Lakshmi Vishali, Dr. Shilpa Gaikwad
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 334 - 338Ultrasound Guided Landmark Identification for Spinal Anesthesia for Patients with Spinal Abnormality
Dr. Abhinav Sharma, Dr. P A Lomate
Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Comparative Studies, Anaesthesiology, India, Volume 12 Issue 2, February 2023
Pages: 928 - 936Comparison of Effect of Preservative Free Ketamine and Magnesium Sulphate used as an Adjuvant to 0.5 % Hyperbaric Bupivacaine in Orthopaedic Lower Limb Surgeries under Spinal Anaesthesia - A Prospective Double Blind Randomised Control Study
Pratheev E, Arpita Bhargava, Ritushree Sharma