Combined spinal epidural anesthesia during colon surgery in a high-risk patient: case report.
作者： Luiz Eduardo Imbelloni , Marcos Fornasari , José Carlos Fialho
DOI: 10.1016/S0034-7094(09)70099-6
关键词: Colon surgery 、 Subarachnoid space 、 Bolus (medicine) 、 Catheter 、 Anesthetic 、 Anesthesia 、 Sedation 、 Surgery 、 Midazolam 、 Medicine 、 Bupivacaine
摘要: Summary Background and objectives Combined spinal epidural anesthesia (CSEA) has advantages over single injection or subarachnoid blockades. The objective of this report was to present a case in which segmental block can be an effective technique for gastrointestinal surgery with spontaneous respiration. Case Patient physical status ASA III, diabetes mellitus type II, hypertension, chronic obstructive pulmonary disease scheduled resection right colon tumor. performed the T 5 -T 6 space 8 mg 0.5% isobaric bupivacaine 50 μg morphine were injected space. catheter (20G) introduced four centimeters cephalad direction. Sedation achieved fractionated doses 1 midazolam (total mg). A bolus 25 administered through two hours after block. Vasopressors atropine not used. Conclusions This provides evidence that anesthetic used surgeries
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