Downloads: 3
Case Studies | Anaesthesiology | India | Volume 10 Issue 5, May 2021
Combined Sequential Spinal Epidural Anaesthesia in Geriatric with a STOP BANG Score of 6 for Total Knee Replacement Surgery - The Anaesthesiologist Plight
Dr. P Veena [2] | Dr. Hally T
Abstract: Background: Sequential combined spinal epidural anaesthesia (Sequential CSEA) is probably the greatest advance in central neuraxial block. Sequential combined spinal epidural anaesthesia is a safe, effective, reliable technique with stable haemodynamic along with provision of prolonging analgesia compared to spinal anaesthesia alone for high risk geriatric patients undergoing major orthopaedic surgery. Studies reveal that spinal anaesthesia combined with epidural technique has been shown to ameliorate the hyperglycemic as well as catecholamine surge to surgery1. We report a case of 65 year old obese patient with STOP BANG score of 6 with multiple comorbidities for Total knee replacement (TKR) under combined sequential spinal epidural anaesthesia with stable hemodynamics. To reduce the incidence and severity of hypotension a sequential combined spinal epidural technique has been described earlier in obstetric practice in which a spinal dose of local anaesthetic intended to be inadequate for surgery is used in an attempt to reduce hypotension but then the block is deliberately extended cephalad with the epidural drug.
Keywords: Sequential combined spinal epidural anaesthesia, Spinal anaesthesia, Hyperbaric Bupivacaine, Geriatric, Obesity, STOP BANG score
Edition: Volume 10 Issue 5, May 2021,
Pages: 366 - 368
Similar Articles with Keyword 'Spinal anaesthesia'
Downloads: 0
Masters Thesis, Anaesthesiology, India, Volume 11 Issue 11, November 2022
Pages: 542 - 546Comparison of Efficacy of Pre-Operative Oral Pregabalin versus Oral Gabapentin on Postoperative Analgesia in Patients undergoing Lower Abdominal Surgeries under Spinal Anaesthesia : A Prospective, Randomized, Controlled Study
K. K. Arora | Ritu Pauranik | Malathi Bhaskar
Downloads: 0
Research Paper, Anaesthesiology, India, Volume 12 Issue 1, January 2023
Pages: 102 - 104Paediatric Spinal Anaesthesia - With and Without Clonidine as adjuvant
Flory Judy Britto | Prasad K Kulkarni