Spinal (Intrathecal) Ketamine Anaesthesia for Upper Abdominal Surgery – Case Report.

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2008-03-06 DOI:10.4314/NJSSCI.V17I2.38420

F. Amadasun, P. Osaigbovo

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Abstract

Intravenous ketamine is usually administered for the induction of general anaesthesia. Spinal ketamine for lower abdominal and lower limb surgery is sporadically reported in the literature. However, the use of spinal ketamine for upper body surgery is rare. We describe the case of a 35-year old man, with a retroperitoneal tumour and severe intercurrent cardiovascular morbidity, that had exploratory laparotomy and tumour biopsy with Intrathecal ketamine administered through the L4/L5 interspace. The patient had good surgical analgesia, with stable vital signs throughout the surgery. After surgery, the spinal catheter was left in place, and withdrawn 48 hours later. The patient did well in the immediate postoperative period, although he gradually succumbed to the primary illness (malignant retroperitoneal cancer) on the 15th postoperative day. Keywords : Spinal, intrathecal, ketamine, anaesthesia. Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 129-132

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脊髓(鞘内)氯胺酮麻醉用于上腹部手术- 1例报告。

静脉注射氯胺酮通常用于全身麻醉诱导。脊柱氯胺酮用于下腹部和下肢手术在文献中零星报道。然而，脊椎氯胺酮用于上半身手术是罕见的。我们描述了一个35岁的病例，患有腹膜后肿瘤和严重的并发心血管疾病，他进行了探查性剖腹手术和肿瘤活检，并通过L4/L5间隙给予鞘内氯胺酮。患者手术镇痛良好，整个手术过程中生命体征稳定。手术后，脊髓导管留在原位，48小时后取出。术后15天，患者因原发疾病(腹膜后恶性癌)逐渐死亡，术后立即恢复良好。关键词:脊髓，鞘内，氯胺酮，麻醉尼日利亚外科科学杂志Vol. 17 (2) 2007: pp. 129-132

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Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons

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