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, 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
How to Cite this Article?
Dr. P Veena, Dr. Hally T, "Combined Sequential Spinal Epidural Anaesthesia in Geriatric with a STOP BANG Score of 6 for Total Knee Replacement Surgery - The Anaesthesiologist Plight", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=MR21509112628, Volume 10 Issue 5, May 2021, 366 - 368
How to Share this Article?
Similar Articles with Keyword 'Spinal anaesthesia'
Downloads: 1 | Monthly Hits: ⮙1
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 871 - 873Evaluation of Efficacy of Tramadol and Pethidine for Control of Perioperative Shivering in Patients Undergoing Elective Surgery under Spinal Anaesthesia
Dr. Koti Naveen, Dr Manohar Mane Vilas
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 10 Issue 7, July 2021
Pages: 47 - 52Comparison of Phenylephrine, Ephedrine and Mephentermine for Control of Hypotension following Spinal Anaesthesia for Infra-Umbilical Surgeries
Dr. Shweta Naresh Satia, Dr. Sameer Kulkarni, Dr. Jyoti Kale
Similar Articles with Keyword 'Hyperbaric Bupivacaine'
Downloads: 2
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 1189 - 1191Comparative Study Intrathecal Clonidine versus Intrathecal Fentanyl in Hyperbaric Bupivacaine for Spinal Anaesthesia and Postoperative Analgesia in Patients Undergoing Lower Limb Surgeries
Dr. Neha Rai, Dr. Mekha Elizabeth Mathew, Dr. RL Gogna
Downloads: 100
Research Paper, Anaesthesiology, India, Volume 9 Issue 1, January 2020
Pages: 1708 - 1711A Prospective Comparative Study between 10ml & 15ml of Normal Saline for Epidural Volume Expansion, with 10mg of 0.5% Intrathecal Hyperbaric Bupivacaine for Elective Surgeries Up to Umbilical Level in Adult Patients
Dr Vinay Kumar Kirla, Dr M. Santhi Sree, Dr B. Sowbhagya Lakshmi
Similar Articles with Keyword 'combined'
Downloads: 2
Case Studies, Anaesthesiology, India, Volume 10 Issue 6, June 2021
Pages: 912 - 913Needle through Needle Combined Spinal Epidural Anaesthesia - A Case Report
Dr Rajalekshmi, Dr. Girish Kumar J, Dr. Meena Vijayaraghavan, Dr. P Veena, Dr. Geethakumari P
Downloads: 23
Research Paper, Anaesthesiology, Egypt, Volume 10 Issue 3, March 2021
Pages: 1567 - 1572Low Dose Combined Spinal-Epidural Anesthesia Versus Conventional Epidural Anesthesia for Elective Cesarean Section in Severe Preeclampsia
Mamdouh E. Lotffy, Ayman A. Radi, Dr. Nevine M. Soliman, Dr. Khaled M. Gaballah, Amir R. Youssef
Similar Articles with Keyword 'spinal'
Downloads: 1 | Monthly Hits: ⮙1
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 871 - 873Evaluation of Efficacy of Tramadol and Pethidine for Control of Perioperative Shivering in Patients Undergoing Elective Surgery under Spinal Anaesthesia
Dr. Koti Naveen, Dr Manohar Mane Vilas
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 10 Issue 7, July 2021
Pages: 47 - 52Comparison of Phenylephrine, Ephedrine and Mephentermine for Control of Hypotension following Spinal Anaesthesia for Infra-Umbilical Surgeries
Dr. Shweta Naresh Satia, Dr. Sameer Kulkarni, Dr. Jyoti Kale
Similar Articles with Keyword 'epidural'
Downloads: 1
Informative Article, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 938 - 939Emergency Cesarean Section for a Parturient with Severe Mitral Regurgitation and Vegetations Done under Regional Anaesthesia
Dr Niranjni S, Dr Harish Kumar J, Dr Yachendra, Dr. Lakshmi
Downloads: 2
Case Studies, Anaesthesiology, India, Volume 10 Issue 6, June 2021
Pages: 912 - 913Needle through Needle Combined Spinal Epidural Anaesthesia - A Case Report
Dr Rajalekshmi, Dr. Girish Kumar J, Dr. Meena Vijayaraghavan, Dr. P Veena, Dr. Geethakumari P
Similar Articles with Keyword 'anaesthesia'
Downloads: 0
Case Studies, Anaesthesiology, India, Volume 10 Issue 12, December 2021
Pages: 105 - 106Case Report on Tracheo - Oesophageal Fistula in a New Born - An Anaesthetist?s Challenge
Dr. Aradhana Devi, Dr. Olvyna D'souza
Downloads: 0
Comparative Studies, Anaesthesiology, India, Volume 11 Issue 1, January 2022
Pages: 1096 - 1099A Study for Evaluating Different Doses of Dexmedetomidine in Attenuating Extubation Response in Smoker Patients for Surgeries under General Anaesthesia
Vivek Chaudhary
Similar Articles with Keyword 'Spinal'
Downloads: 1 | Monthly Hits: ⮙1
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 871 - 873Evaluation of Efficacy of Tramadol and Pethidine for Control of Perioperative Shivering in Patients Undergoing Elective Surgery under Spinal Anaesthesia
Dr. Koti Naveen, Dr Manohar Mane Vilas
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 10 Issue 7, July 2021
Pages: 47 - 52Comparison of Phenylephrine, Ephedrine and Mephentermine for Control of Hypotension following Spinal Anaesthesia for Infra-Umbilical Surgeries
Dr. Shweta Naresh Satia, Dr. Sameer Kulkarni, Dr. Jyoti Kale
Similar Articles with Keyword 'Hyperbaric'
Downloads: 2
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 1189 - 1191Comparative Study Intrathecal Clonidine versus Intrathecal Fentanyl in Hyperbaric Bupivacaine for Spinal Anaesthesia and Postoperative Analgesia in Patients Undergoing Lower Limb Surgeries
Dr. Neha Rai, Dr. Mekha Elizabeth Mathew, Dr. RL Gogna
Downloads: 100
Research Paper, Anaesthesiology, India, Volume 9 Issue 1, January 2020
Pages: 1708 - 1711A Prospective Comparative Study between 10ml & 15ml of Normal Saline for Epidural Volume Expansion, with 10mg of 0.5% Intrathecal Hyperbaric Bupivacaine for Elective Surgeries Up to Umbilical Level in Adult Patients
Dr Vinay Kumar Kirla, Dr M. Santhi Sree, Dr B. Sowbhagya Lakshmi
Similar Articles with Keyword 'Bupivacaine'
Downloads: 1
Masters Thesis, Anaesthesiology, India, Volume 10 Issue 6, June 2021
Pages: 568 - 569A Study Comparing the Efficacy of Postoperative Analgesia with Fascia-Iliaca Compartmental Block vs IV Tramadol In Surgeries Around Hip
Dr. Firdous Fatima, Dr M. H. Nagrale
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 10 Issue 11, November 2021
Pages: 1107 - 1111Comparative Evaluation of Post Operative Urinary Retention of Intrathecal Bupivacaine and Ropivacaine in Lowerlimb Orthopaedic Surgeries
Dr. Vennam Naga Lakshmi Vishali, Dr. Shilpa Gaikwad