Abstract

Abstract Background: Aim of this prospective study was to evaluate the sensory block quality and hemodynamic effects in patients undergoing urologic surgery under Combined Sequential Spinal Epidural Anesthesia (CSSE). Methods: Fifty patients were included in the study. Inclusion criteria were age ≥ 18 years and surgery scheduled to last ≤ 2 hours. Patients with a history of hypertension, congestive heart failure, any active medication for cardiovascular disease or any other absolute or relative contraindication to spinal anesthesia were excluded from the study. Patients undergoing urologic procedures received CSSE with 4 ml of Levobupivacaine 0.075% intratecally, followed by 10 ml of Levobupivacaine 1.5% epidurally. Sensory block spread was assessed by a pin prick test. Cardiac index (CI), blood pressure (BP), heart rate (HR) and arterial saturation of O2 (SpO2) were continuously monitored and recorded. Before discharge, patient’s functional status was assessed by the Aldrete Score. Results: CSSE allowed a pain free procedure. The pinprick test score was 1.2 ± 0.7 at the T7 dermatome level. CI, mean BP and HR were stable during the entire procedure. The Aldrete Score was 9.84 ± 0.4. Conclusion: CSSE performed with low doses of local anaesthetics allowed a good sensory block and was associated with good hemodynamic conditions and recovery score.

Autore Pugliese

• Cinnella Gilda

Tutti gli autori

• Cacciapaglia M. , Cinnella G. , Schiraldi R. , Cormio L. , Vetuschi P. , Cotoia A. , Mirabella L. , Dambrosio M.

Titolo volume/Rivista

JOURNAL OF ANESTHESIA & CLINICAL RESEARCH

Anno di pubblicazione

2012

ISSN

2155-6148

ISBN

Non Disponibile

Numero di citazioni Wos

Nessuna citazione

Ultimo Aggiornamento Citazioni

Non Disponibile

Numero di citazioni Scopus

2

Ultimo Aggiornamento Citazioni

Non Disponibile

Settori ERC

Non Disponibile

Codici ASJC

Non Disponibile