55 Continuous spinal anesthesia for open cholecystectomy: customized anaesthetic management in a challenging patient

Abstract

istered if the MAP dropped by 10% of the initial value. The number of bolused episodes was recorded. All patients received an IV balanced crystalloid (10 ml/kg) at SAB insertion, followed by an infusion. Pain scores (VAS) were documented perioperatively. Results Conclusions 1. Slowly titrated, low–dose SAB in elderly patients with mild– moderate, asymptotic AS did not develop precipitous hypotension. 2. MAP was relatively easily maintained with boluses of Phenylephrine (50mcg/ml). 3. US–guided SIFI FICB is an effective analgesic adjunct.