A.245 Single-dose versus continuous spinal anaesthesia in the elderly

Low-dose spinal versus epidural anaesthesia for delivery and expected caesarean section

Regional anaesthesia is associated with significantlly lower mortality among obstetric patients, but the optimal technique for delivery and cesarean section remains to be determined. Conventional epidural analgesia has disadvantage of slow onset and higher rate of instrumental delivery while spinal anaesthesia in standard doses causes hypotension and bradycardia which might further compromise c...

Continuous spinal anaesthesia--early experience in University Hospital, Kuala Lumpur.

Continuous spinal anaesthesia using the incremental technique was used in nineteen high risk patients with multiple medical problems, seventeen of whom were elderly, for lower limb orthopaedic and pelvic surgery. An intrathecal catheter (18G/28G) was inserted under local anaesthesia via the lumbar interspinous space. Spinal anaesthesia was induced with small incremental doses of 0.5% bupivacain...

A randomized controlled trial comparing haemodynamic stability in elderly patients undergoing spinal anaesthesia at L5, S1 versus spinal anaesthesia at L3, 4 at a tertiary African hospital.

BACKGROUND Spinal anaesthesia is a routinely used anaesthetic technique in elderly patients (> 60 years) undergoing operations involving the lower limbs, lower abdomen, pelvis and the perineum. Spinal anaesthesia has several advantages over general anaesthesia including stable haemodynamic variables, less blood loss, less post-operative pain, faster recovery time and less post-operative confusi...

Spinal Anaesthesia in Spinal Surgery

Minimum effective local anaesthetic dose for spinal anaesthesia.

Editor—In their response 1 to my criticisms 2 of their paper 3 Sell and colleagues accept some of my points, and refute others. On most of the latter we will simply have to agree to differ, but, not surprisingly , I cannot accept their quoting my own review 4 in support of their belief that the solutions which they used were isobaric! Their quote from the article ('Given the normal variation [o...