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Combined spinal-epidural anesthesia for lumbar discectomy in a patient with asymptomatic severe aortic stenosis: a case report / 대한마취과학회지
Korean Journal of Anesthesiology ; : 129-132, 2014.
Artículo en Inglés | WPRIM | ID: wpr-59019
ABSTRACT
The use of neuraxial anesthesia has traditionally been contraindicated in patients with severe aortic stenosis. However, general anesthesia can be riskier than neuraxial anesthesia for severe aortic stenosis patients undergoing spinal surgeries in the prone position as this can cause a major reduction in cardiac output secondary to diminished preload. In addition, general anesthesia, muscle relaxation, and positive-pressure ventilation can decrease venous return and reduce vascular tone, further compromising cardiac output. Combined spinal-epidural anesthesia with closely monitored, careful titration of the local anesthetic dose can be an efficient and safe anesthetic method for managing such patients. We describe the successful management of combined spinal-epidural anesthesia in an asymptomatic severe aortic stenosis patient scheduled for lumbar discectomy.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Estenosis de la Válvula Aórtica / Gasto Cardíaco / Respiración con Presión Positiva / Posición Prona / Discectomía / Dexmedetomidina / Anestesia / Anestesia de Conducción / Anestesia General / Relajación Muscular Límite: Humanos Idioma: Inglés Revista: Korean Journal of Anesthesiology Año: 2014 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Estenosis de la Válvula Aórtica / Gasto Cardíaco / Respiración con Presión Positiva / Posición Prona / Discectomía / Dexmedetomidina / Anestesia / Anestesia de Conducción / Anestesia General / Relajación Muscular Límite: Humanos Idioma: Inglés Revista: Korean Journal of Anesthesiology Año: 2014 Tipo del documento: Artículo