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...

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Main Authors:	Mohamed, Rozilah @ Abdul Hadi, Md Ralib, Azrina, Lukman, Mohd Fahmi, Abdullah, Nor Zamzila, Osman, Ariff, Mat Nor, Mohd Basri
Format:	Article
Language:	English English
Published:	Confederation of ASEAN Society of Anaesthesiology 2009
Subjects:	RD Surgery
Online Access:	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

id	iium-14148
recordtype	eprints
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
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RD Surgery
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
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.
format	Article
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
title	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_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_sort	continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function
publisher	Confederation of ASEAN Society of Anaesthesiology
publishDate	2009
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
first_indexed	2023-09-18T20:23:19Z
last_indexed	2023-09-18T20:23:19Z
_version_	1777408251907801088

Continuous spinal anesthesia for lower limb surgery in patient with poor left ventricular function

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