ISSN: 2155-6148
Department of Neurosurgery, Tufts Medical Center, Massachusetts, USA
Review
Spinal Anesthesia for Lumbar Surgery in the Elderly Patient
Author(s): James Kryzanski* and Michelle Olmos
A 22 year old primi diagnosed as Eisenmengers syndrome with severe pulmonary hypertension with bidirectional
shunt and room air saturation of 78% was taken up for emergency caeserian section under thoracic segmental spinal
anaesthesia with low volume isobaric 0.5% levobupivacaine and fentanyl. Patient was haemodynamically stable
during the intraoperative and postoperative period and was discharged safely on the 10th postoperative day. Thoracic
segmental spinal anaesthesia with isobaric levobupivacaine is a good alternative to epidural and general anaesthesia in
patients with cardiac and respiratory diseases... View More»
DOI:
10.35248/2155-6148.22.13.1070