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May 1, 1995Anesthesia & Analgesia

A Prospective Study of the Feasibility of Continuous Spinal Anesthesia in a University Hospital

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Why the study?

Is continuous spinal anesthesia feasible in an elderly population undergoing orthopedic surgery?

Population

100 elderly patients undergoing orthopedic surgery

Design

Cohort

Authors

ÉGÉlisabeth Van GesselUniversity of GenevaAFAlain ForsterGenesis Medical CenterZGZdravko GamulinUniversity Hospital of Geneva

Discussion

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Implication

May support CSA feasibility in elderly orthopedic patients; hypothesis-generating from Level 3 data and requires RCTs before practice change.

Structured PICO

Is continuous spinal anesthesia feasible in an elderly population undergoing orthopedic surgery?

P
Population
100 elderly patients undergoing orthopedic surgery
I
Intervention
Continuous spinal anesthesia (CSA) using an 18-gauge needle and a 20-gauge catheter
O
Outcome
Feasibility of continuous spinal anesthesia (failure rate)

Continuous spinal anesthesia using large-bore equipment is feasible and effective in elderly patients undergoing orthopedic surgery.

Cite This Study

Gessel et al. (1995) studied this question.

synapsesocial.com/papers/6a86ed32bb0787ff27ca1022https://doi.org/10.1097/00000539-199505000-00005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Continuous Spinal Anesthesia1993 · 86 citations
  2. 2A Retrospective Study of the Incidence and Causes of Failed Spinal Anesthetics in a University Hospital1985 · 76 citations
  3. 3Comparison of continuous spinal and continuous epidural anaesthesia for lower limb surgery in elderly patients A retrospective study1989 · 96 citations
  4. 4Incidence and Etiology of Failed Spinal Anesthetics in a University Hospital1988 · 85 citations
  5. 5Incidence and Prediction of Postdural Puncture Headache A Prospective Study of 1021 Spinal Anesthesias1990 · 263 citations