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August 31, 2016Egyptian Journal of Anaesthesia

Continuous spinal anesthesia for elderly patients with cardiomyopathy undergoing lower abdominal surgeries

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Key result

Continuous spinal anesthesia was safe for patients with cardiomyopathy undergoing lower abdominal surgeries, with hypotension in 5%, bradycardia in 10%, and arrhythmia in 2.5% of patients.

Why the study?

Is continuous spinal anesthesia safe and effective for patients with cardiomyopathy undergoing lower abdominal surgeries?

Population

40 adult patients with depressed systolic function (EF 45% or less) scheduled for lower abdominal surgeries

Design

Case_series

Follow-up

perioperative and postoperative period

Authors

SASabry Mohamed AminTanta UniversitySSSameh Mohamed Fathy SadekTanta University

Discussion

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Overview

May warrant consideration in select cardiomyopathy cases; leaves open need for randomized trials to confirm safety.

Structured PICO

Is continuous spinal anesthesia safe and effective for patients with cardiomyopathy undergoing lower abdominal surgeries?

P
Population
40 adult patients with depressed systolic function (EF ≤45%) undergoing lower abdominal surgeries.
I
Intervention
Continuous spinal anesthesia (CSA) using 2 ml of hyperbaric bupivacaine (10 mg) injected into the subarachnoid space, with an epidural catheter inserted 3 cm, maintained by top-up doses of plain bupivacaine 0.5% 1.2 ml
O
Outcome
Hemodynamic changes and safety (hypotension, bradycardia, arrhythmia, postoperative ECG changes, postoperative Troponin, neurological deficit, post dural puncture headache)safety

Continuous spinal anesthesia appears to be a safe and effective technique with minimal hemodynamic disturbances for patients with cardiomyopathy undergoing lower abdominal surgeries.

Cite This Study

Amin et al. (2016) studied Cardiomyopathy with depressed systolic function (n=40). Continuous spinal anesthesia (CSA) was evaluated on Hemodynamic changes and side effects. Continuous spinal anesthesia was safe for patients with cardiomyopathy undergoing lower abdominal surgeries, with hypotension in 5%, bradycardia in 10%, and arrhythmia in 2.5% of patients.

synapsesocial.com/papers/6a86ec873f44447e627cb837https://doi.org/10.1016/j.egja.2016.06.001
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Also Consider

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  2. 2Hemodynamic Effects of Spinal Anesthesia in the Elderly1996 · 126 citations
  3. 3Continuous spinal anaesthesia/analgesia for the perioperative management of high-risk patients2000 · 28 citations
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