Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function
Continuous spinal anaesthesia (CSA) has been found to produce good haemodynamic control and prolongation of anaesthetic and analgesic. This is particularly useful in patients with cardiovascular compromise. In contrast to general anaesthesia, CSA allow us to communicate with the patient throughout t...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English English |
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Confederation of ASEAN Society of Anaesthesiology
2009
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| Online Access: | http://irep.iium.edu.my/14148/ http://irep.iium.edu.my/14148/2/Continuous_Spinal_Anaesthesia.pdf http://irep.iium.edu.my/14148/1/ASEAN_Journal_of_Anaesthesiology_2009.pdf |
| _version_ | 1848777657043386368 |
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| author | Mohamed, Rozilah @ Abdul Hadi Md Ralib, Azrina Lukman, Mohd Fahmi Abdullah, Nor Zamzila Osman, Ariff Mat Nor, Mohd Basri |
| author_facet | Mohamed, Rozilah @ Abdul Hadi Md Ralib, Azrina Lukman, Mohd Fahmi Abdullah, Nor Zamzila Osman, Ariff Mat Nor, Mohd Basri |
| author_sort | Mohamed, Rozilah @ Abdul Hadi |
| building | IIUM Repository |
| collection | Online Access |
| description | Continuous spinal anaesthesia (CSA) has been found to produce good haemodynamic control and prolongation of anaesthetic and analgesic. This is particularly useful in patients with cardiovascular compromise. In contrast to general anaesthesia, CSA allow us to communicate with the patient throughout the operation and thus give us information regarding their degree of anaesthesia and analgesia. By intermittent administration of small doses of local anaesthetic through spinal catheter in CSA, the spread of the block can be better regulated and the risk of abrupt decreases in arterial pressure can be reduced as compared to a single-shock spinal anaesthesia. We reported the use of Pajunk IntraLong ® 21G cannula and 25G spinal microcatheter with 2.5mg of 0.5% heavy bupivacaine in a 59-year-old man with history of diabetes mellitus, hypertension, ischaemic heart disease and poor left ventricular function who had undergone a lower limb surgery. A special technique was introduced during the insertion of microcatheter by slipping it in between a cut-gauze to reduce kinking which is the most common problem encountered during the procedure. The CSA had successfully provided adequate anaesthesia and analgesia to the patient as well as providing haemodynamic stability throughout the operation. From this case we learned that CSA can be offered as an anaesthetic technique with good haemodynamic control in patient with poor left ventricular function. Our technique also offers an alternative method to reduce kinking of the microcatheter to minimize catheter blockade. |
| first_indexed | 2025-11-14T14:49:28Z |
| format | Article |
| id | iium-14148 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T14:49:28Z |
| publishDate | 2009 |
| publisher | Confederation of ASEAN Society of Anaesthesiology |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-141482017-04-06T08:31:47Z http://irep.iium.edu.my/14148/ Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function Mohamed, Rozilah @ Abdul Hadi Md Ralib, Azrina Lukman, Mohd Fahmi Abdullah, Nor Zamzila Osman, Ariff Mat Nor, Mohd Basri RD Surgery Continuous spinal anaesthesia (CSA) has been found to produce good haemodynamic control and prolongation of anaesthetic and analgesic. This is particularly useful in patients with cardiovascular compromise. In contrast to general anaesthesia, CSA allow us to communicate with the patient throughout the operation and thus give us information regarding their degree of anaesthesia and analgesia. By intermittent administration of small doses of local anaesthetic through spinal catheter in CSA, the spread of the block can be better regulated and the risk of abrupt decreases in arterial pressure can be reduced as compared to a single-shock spinal anaesthesia. We reported the use of Pajunk IntraLong ® 21G cannula and 25G spinal microcatheter with 2.5mg of 0.5% heavy bupivacaine in a 59-year-old man with history of diabetes mellitus, hypertension, ischaemic heart disease and poor left ventricular function who had undergone a lower limb surgery. A special technique was introduced during the insertion of microcatheter by slipping it in between a cut-gauze to reduce kinking which is the most common problem encountered during the procedure. The CSA had successfully provided adequate anaesthesia and analgesia to the patient as well as providing haemodynamic stability throughout the operation. From this case we learned that CSA can be offered as an anaesthetic technique with good haemodynamic control in patient with poor left ventricular function. Our technique also offers an alternative method to reduce kinking of the microcatheter to minimize catheter blockade. Confederation of ASEAN Society of Anaesthesiology 2009-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/14148/2/Continuous_Spinal_Anaesthesia.pdf application/pdf en http://irep.iium.edu.my/14148/1/ASEAN_Journal_of_Anaesthesiology_2009.pdf Mohamed, Rozilah @ Abdul Hadi and Md Ralib, Azrina and Lukman, Mohd Fahmi and Abdullah, Nor Zamzila and Osman, Ariff and Mat Nor, Mohd Basri (2009) Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function. ASEAN Journal of Anaesthesiology, 10 (Suppl ). p. 167. http://www.aja-online.com/about-us/introduction.html |
| spellingShingle | RD Surgery Mohamed, Rozilah @ Abdul Hadi Md Ralib, Azrina Lukman, Mohd Fahmi Abdullah, Nor Zamzila Osman, Ariff Mat Nor, Mohd Basri Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function |
| title | Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function |
| title_full | Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function |
| title_fullStr | Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function |
| title_full_unstemmed | Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function |
| title_short | Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function |
| title_sort | continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function |
| topic | RD Surgery |
| url | http://irep.iium.edu.my/14148/ http://irep.iium.edu.my/14148/ http://irep.iium.edu.my/14148/2/Continuous_Spinal_Anaesthesia.pdf http://irep.iium.edu.my/14148/1/ASEAN_Journal_of_Anaesthesiology_2009.pdf |