Epidural Anesthesia for Lumbar Spine Surgery / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 331-335, 2002.
Article
in Korean
| WPRIM
| ID: wpr-197406
ABSTRACT
BACKGROUND:
Many anesthesiolosists feel that epidural anesthesia is unsuitable for spinal sugery. However, several articles have been published in which epidural anesthesia is viewed as a good alternative to general anesthesia for spine surgery. The aim of this study was to evaluate effectiveness and complications of epidural anesthesia for spine surgery.METHODS:
Eighty-two patients undergoing epidural anesthesia for spine surgery was studied prospectively. Epidural anesthesia was performed using 18-gauge Tuohy needles inserted at the L1-2 interspace. A test dose of lidocaine 3 ml was injected to check for a subarachnoid puncture. After a 2 - 3 minute waiting period, 0.5% bupivacaine 12 ml was slowly injected for 3 minutes. The pain at the operation site and roots, extension of anesthesia, motor blockade and complications were evaluated.RESULTS:
Pain at the operation site was minimal in 83% of the patients; however, 44% of the patients complained of moderate to severe root pain. No patient had a new neurologic deficit as a result of the epidural technique. Perioperative complications were minimal and could be easily treated.CONCLUSIONS:
We concluded that proper administration of epidural anesthesia for spine surgery is a safe and reliable procedure and a good alternative to general anesthesia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spine
/
Bupivacaine
/
Punctures
/
Prospective Studies
/
Anesthesia
/
Anesthesia, Epidural
/
Anesthesia, General
/
Lidocaine
/
Needles
/
Neurologic Manifestations
Type of study:
Observational study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2002
Type:
Article
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