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April 1, 2000European Journal of Anaesthesiology

Continuous spinal anaesthesia/analgesia for the perioperative management of high-risk patients

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Why the study?

Does continuous spinal anaesthesia and postoperative analgesia provide effective pain relief and safety in elderly high-risk patients undergoing major surgery?

Population

48 elderly high-risk patients undergoing major abdominal, vascular or orthopaedic surgery

Design

Case_series

Follow-up

118 hours

Authors

DMD. MichaloudisUniversity of ThessalyAPAnastasios PetrouINSEADPBP. BakosUniversity Hospital of Larissa

Discussion

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Implication

May support continuous intrathecal analgesia in select high-risk elderly patients; hypothesis-generating and requires randomized confirmation.

Structured PICO

Does continuous spinal anaesthesia and postoperative analgesia provide effective pain relief and safety in elderly high-risk patients undergoing major surgery?

P
Population
48 elderly high-risk patients undergoing major abdominal, vascular or orthopaedic surgery
I
Intervention
Continuous spinal anaesthesia intraoperatively, followed by postoperative continuous spinal analgesia (intrathecal fentanyl and bupivacaine via PCA pump) and intravenous tenoxicam
O
Outcome
Efficacy of postoperative continuous spinal analgesia (pain scores, ease of physical exercises)patient reported

Continuous spinal anaesthesia and analgesia using intrathecal fentanyl and bupivacaine with intravenous tenoxicam provides effective and safe perioperative pain management in high-risk elderly patients.

Cite This Study

Michaloudis et al. (2000) studied this question.

synapsesocial.com/papers/6a86ed6fe0e6abca40d3be62https://doi.org/10.1097/00003643-200004000-00006
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Also Consider

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

  1. 1Comparison of Intrathecal Fentanyl Infusion with Intrathecal Morphine Infusion or Bolus for Postoperative Pain Relief After Hip Arthroplasty1993 · 48 citations
  2. 2A Successful Continuous Spinal Anesthetic in a Patient with Preoperative Baseline Hypercapnia Exceeding 100 mm Hg1998 · 4 citations
  3. 3CONTINUOUS SPINAL ANESTHESIA1989 · 26 citations
  4. 4Patient-Controlled Spinal Analgesia for Postoperative Pain Control1992 · 18 citations
  5. 5Comparison of continuous spinal and continuous epidural anaesthesia for lower limb surgery in elderly patients A retrospective study1989 · 96 citations