持续脊髓麻醉,当前麻醉实践中未充分利用的神经轴技术:及时提醒

E. Ong, Hui Ping Ng, Muhamad Rasydan Abd Ghani, Shee Ven Wong
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引用次数: 0

摘要

持续脊髓麻醉(CSA)是一种用于高危手术患者的心脏稳定技术。然而,在过去的几十年里,由于使用这种技术引起的并发症,如硬脑膜穿刺后头痛和神经功能障碍,这种技术似乎有所下降。我们报告了2例老年患者,1例有高危心脏病,1例有痴呆和多种合并症,在CSA下进行骨科手术,无并发症报道。CSA是一种有效的麻醉技术,失败率低,并发症少。应考虑适当的技术以提高手术成功率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Continuous spinal anaesthesia, an underutilised neuraxial technique in current anaesthesia practice: a timely reminder
Continuous spinal anaesthesia (CSA) is a cardio-stable technique used in high-risk patients undergoing surgery. However, this technique appeared to decline over the last decades due concerns of complications that arise from using this technique, such as post-dural puncture headaches and neurological deficits. We report two cases of elderly patients, one at high cardiac risk and one with dementia and multiple comorbidities, under CSA for orthopaedic surgery with no reported complications. CSA is an adequeate anaesthetic technique with a low failure rate and complications. Proper technique should be taken into consideration to increase the success rate for this procedure.
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