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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 analgesia provide safe and effective perioperative management 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 postoperatively

Authors

DMD. MichaloudisUniversity of ThessalyAPAnastasios PetrouINSEADPBP. BakosUniversity Hospital of Larissa

Discussion

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Implication

May support continuous spinal analgesia in select high-risk elderly cases; leaves open confirmation via randomized trials.

Structured PICO

Does continuous spinal anaesthesia and analgesia provide safe and effective perioperative management 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
Intraoperative safety and postoperative analgesic efficacy (pain scores and ease of physical exercises)patient reported

Continuous spinal anaesthesia and analgesia is a safe and effective perioperative strategy for elderly high-risk patients undergoing major surgery.

Cite This Study

Michaloudis et al. (2000) studied this question.

synapsesocial.com/papers/6a86ed6fe0e6abca40d3be63https://doi.org/10.1046/j.1365-2346.2000.00651.x
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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 ANESTHESIA1989 · 26 citations
  2. 2Patient-Controlled Spinal Analgesia for Postoperative Pain Control1992 · 18 citations
  3. 3Hemodynamic Effects of Spinal Anesthesia in the Elderly1996 · 126 citations
  4. 4Continuous spinal anaesthesia or continuous epidural anaesthesia for post-operative pain control after hip replacement?1999 · 32 citations
  5. 5Continuous Spinal Anesthesia with Invasive Hemodynamic Monitoring for Surgical Repair of the Hip in Two Patients with Severe Aortic Stenosis1995 · 70 citations