Thoracic Continuous Spinal Anesthesia in Patients With

A&A practice · Oct 2024

Case Reports

Thoracic Continuous Spinal Anesthesia in Patients With Destroyed Lung Resulted in Favorable Perioperative Outcome.

Among patients needing open abdominal surgery, those with high-risk medical conditions impose significant challenges from an anesthesia point of view. Thoracic continuous spinal anesthesia (TCSA) is an evolving technique that may be beneficial for a subset of patients with underlying high-risk medical conditions where general anesthesia (GA) becomes a relative contraindication. TCSA, as a primary anesthesia technique, is gaining favor for its advantages over GA in open abdominal surgery as it avoids airway intervention and mechanical ventilation. The current article focuses on TCSA in 2 patients at high risk for GA, which resulted in favorable perioperative outcomes.

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- Ruma Thakuria, Arun Jagath A S, Gourav Kumar, and Praveen Talawar.
- From the Department of Anaesthesiology, Pain Medicine & Critical Care, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
- A A Pract. 2024 Oct 1; 18 (10): e01862e01862.
AbstractAmong patients needing open abdominal surgery, those with high-risk medical conditions impose significant challenges from an anesthesia point of view. Thoracic continuous spinal anesthesia (TCSA) is an evolving technique that may be beneficial for a subset of patients with underlying high-risk medical conditions where general anesthesia (GA) becomes a relative contraindication. TCSA, as a primary anesthesia technique, is gaining favor for its advantages over GA in open abdominal surgery as it avoids airway intervention and mechanical ventilation. The current article focuses on TCSA in 2 patients at high risk for GA, which resulted in favorable perioperative outcomes.Copyright © 2024 International Anesthesia Research Society.

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Thoracic Continuous Spinal Anesthesia in Patients With Destroyed Lung Resulted in Favorable Perioperative Outcome.

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