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

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in our clinical practice. Certain risk factors play a role in altering the incidence of hypotension. Aortocaval compression counteraction does not help to prevent hypotension. Intravenous crystalloid prehydration has poor efficacy; thus, the focus has changed toward co-hydration and use of colloids. Phenylephrine is established as a first- line vasopressor, although there are limited data from high-risk patients. Ephedrine crosses the placenta more than phenylephrine and cause possible alterations in the foetal physiology.http://dx.doi.org/10.3126/kumj.v8i4.6242 Kathmandu Univ Med J 2010;8(4):415-19

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Latex Allergy: Overview and Recommendations for the Perioperative Management of High-Risk Patients

Journal of Head Neck & Spine Surgery ◽

10.19080/jhnss.2017.01.555552 ◽

2017 ◽

Cited By ~ 1

Author(s):

Vargas A

Keyword(s):

High Risk ◽

Perioperative Management ◽

Latex Allergy ◽

High Risk Patients ◽

Risk Patients

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Latex Allergy: Overview and Recommendations for the Perioperative Management of High-Risk Patients

Journal of Head Neck & Spine Surgery ◽

10.19080/jhnss.2018.01.555552 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Vargas A

Keyword(s):

High Risk ◽

Perioperative Management ◽

Latex Allergy ◽

High Risk Patients ◽

Risk Patients

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Perioperative management of high risk patients with cardiopulmonary disease undergoing carotid endarterectomy or extracranial-intracranial bypass

Neurosurgery ◽

10.1097/00006123-198204000-00002 ◽

1982 ◽

Vol 10 (4) ◽

pp. 422???7

Author(s):

M B Pritz ◽

G W Kindt

Keyword(s):

High Risk ◽

Carotid Endarterectomy ◽

Perioperative Management ◽

High Risk Patients ◽

Cardiopulmonary Disease ◽

Risk Patients

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Perioperative Management of High Risk Patients with Cardiopulmonary Disease Undergoing Carotid Endarterectomy or Extracranial-Intracranial Bypass

Neurosurgery ◽

10.1227/00006123-198204000-00002 ◽

1982 ◽

Vol 10 (4) ◽

pp. 422-427 ◽

Cited By ~ 4

Author(s):

Michael B. Pritz ◽

Glenn W. Kindt

Keyword(s):

High Risk ◽

Carotid Endarterectomy ◽

Perioperative Management ◽

Myocardial Function ◽

Perioperative Period ◽

Medical Problems ◽

High Risk Patients ◽

Increased Risk ◽

Risk Patients ◽

Cardiopulmonary Monitoring

Abstract Among a large group of patients who underwent either carotid endarterectomy or extracranial-intracranial (EC-IC) bypass were 13 patients who had cardiopulmonary monitoring performed by a dye dilution technique either with or without a thermodilution Swan-Ganz catheter. Each patient had at least two significant medical problems that were thought to place him or her at increased risk. The usefulness of this monitoring approach in the perioperative management of these patients is demonstrated by several clinical examples. No patient sustained myocardial infarction, congestive heart failure, or new neurological deficit during the perioperative period. Our experience suggests that high risk patients can safely undergo either carotid endarterectomy or EC-IC bypass provided that careful attention is paid to myocardial function and the state of hydration.

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