Spinal anaesthesia with a micro-catheter in high-risk patients undergoing colorectal cancer and other major abdominal surgery

Kumar, Chandra M.; Corbett, W. A.; Wilson, Robert

doi:10.1016/j.suronc.2007.10.025

Cited by 27 publications

(16 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The PDPH rate of 1.5% found in our study is consistent with several other studies6,7 and represents an acceptable level of risk 16. Kumar et al20 reported 5.6% PDPH in 68 elderly patients, 65–82 years old. Döhler et al18 observed no cases of PDPH in 154 patients, aged over 70 years (mean 82.3 years).…”

Section: Discussionmentioning

confidence: 98%

“…CSA provides a number of potential advantages over other forms of anesthesia,1–3 including hemodynamic stability and extended analgesia 20,23,24. But some anesthesiologists are not permitted to use microcatheters, due to government concern over the risk of cauda equina syndrome, and others have remained reluctant to perform CSA, even with microcatheters, because of uncertainty about the incidence of PDPH.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Continuous spinal anesthesia for lower limb surgery: a retrospective analysis of 1212 cases

Lux¹

2012

LRA

View full text Add to dashboard Cite

BackgroundContinuous spinal anesthesia is a very reliable and versatile technique for providing effective anesthesia and analgesia. However, the incidence of possible complications, including postdural puncture headache or neurological impairment, remains controversial. Therefore, the aim of the present retrospective study was to analyze a large number of patients for the incidence of adverse events after continuous spinal anesthesia with a microcatheter.MethodsThis retrospective study was conducted on 1212 patients who underwent surgery of the lower extremities with continuous spinal anesthesia, which was administered with 22-gauge Quincke spinal needles and 28-gauge microcatheters. Sociodemographic and clinical data were available from the patient records, and data on headaches and patient satisfaction were drawn from a brief postoperative patient questionnaire.ResultsThe patient population included 825 females (68%) and 387 males; the median age was 61 (56–76). The types of operations performed were 843 hip prostheses, 264 knee prostheses, and 105 other leg operations. No major complications were observed in any of these patients. Tension headaches were experienced by 190 (15.7%) patients, but postdural puncture headaches were reported by only 18 (1.5%) patients. Nearly all patients (98.4%) were satisfied with continuous spinal anesthesia and confirmed that they would choose this kind of anesthesia again.ConclusionBased on the findings of this large data analysis, continuous spinal anesthesia using a 28-gauge microcatheter appears to be a safe and appropriate anesthetic technique in lower leg surgery for aged patients.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Continuous spinal anesthesia for lower limb surgery: a retrospective analysis of 1212 cases

Lux¹

2012

LRA

View full text Add to dashboard Cite

show abstract

“…[51213] Clinical studies have shown that hemodynamic stability is greater with CSA than with other neuraxial anesthesia techniques,[123814] but limited studies have been published on this technique for elderly patients. Few studies or case reports[9101516] have evaluated the efficacy and safety of CSA in this population, probably because of concerns about potential adverse effects-principally neurologic complications and PDPH. We also think that; the high failure rate of CSA compared with USpA as we had in our study can be evaluated as a disadvantage.…”

Section: Discussionmentioning

confidence: 99%

Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients

et al. 2013

View full text Add to dashboard Cite

Background:Continous spinal anesthesia (CSA) and frequently unilateral spinal anesthesia (USpA) are usually preferred for lower extremity surgeries. In this study, we aimed to compare the effects of these anesthetic techniques, on hemodynamic parameters, quality of anesthesia and complications in elderly patients undergoing hip surgeries.Methods:Forty patients aged 65 years and older, assigned to receive either CSA or USpA with 7.5 mg (1.5 cc) 0.5% hyperbaric bupivacaine initially. In CSA group, additional doses of 2.5 mg bupivacaine were applied until sensory block reach to T10. Maximum sensorial block level, time to reach the level of T10 (defined as onset time) and to regress to T12, hemodynamic parameters and ephedrine requirements were recorded peroperatively and during 2 h postoperatively.Results:Hemodynamic parameters, ephedrine requirements and regression of sensory block by two levels were similar in two groups. The onset time of anesthesia was significantly longer in USpA group than CSA group. Neuraxial anesthesia had to be converted to general anesthesia in 5 patients (25%) in CSA group and 1 patient (5%) in USpA group.Conclusions:We conclude that both USpA and CSA techniques have similar effects in elderly high risk patients. On the other hand, USpA is more preferable for surgeries with shorter durations due to its low cost and high success rate.

show abstract

“…Miyayama et al [7] reported use of liquid and tornado coils through microcatheters, similar to this introducer, for embolization during abdominal vascular interventions. In addition, Kumar et al [8] reported on the successful use of a spinal microcatheter as a …”

Section: Discussionmentioning

confidence: 99%

Use of microcatheter for intraabdominal survey

Sokkary¹,

Granada²,

Cunningham³

et al. 2012

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Spinal anaesthesia with a micro-catheter in high-risk patients undergoing colorectal cancer and other major abdominal surgery

Cited by 27 publications

References 31 publications

Continuous spinal anesthesia for lower limb surgery: a retrospective analysis of 1212 cases

Continuous spinal anesthesia for lower limb surgery: a retrospective analysis of 1212 cases

Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients

Use of microcatheter for intraabdominal survey

Contact Info

Product

Resources

About