Abstract

SALAMANCA R, Nayibe; QUINTERO C, Iván Fernando  and  CALVACHE, José Andrés. Anestesia espinal para colecistectomia. Rev. colomb. anestesiol. [online]. 2009, vol.37, n.3, pp.264-271. ISSN 0120-3347.

Introduction: Spinal anaesthesia offers patients quality as well as several advantages; however in surgical procedures which involve the upper abdomen it had been less employed in procedures such as cholecistectomy by laparoscopic technique or via opening the abdomen where the general anaesthesia is the common procedure. Objective: To describe the application of spinal anaesthesia for open cholecistectomy procedures. Material and methods: This is a retrospective study, based on case reports, which evaluated 32 patients ASA I y II which underwent open cholecistectomy under spinal anaesthesia , from June, 2002 to, June, 2004, in a second level hospital in Popayan, Colombia, and with the corresponding consent of the scientific committee. Results: The study included 25 women and 7 men, with a mean age of 33,6 years. The homodynamic profile was measured by monitoring patients heart rate, systolic and diastolic blood pressure. These values diminished during the first 20 minutes, however, afterwards they increased until reaching stability below the initial parameters. In 34.3% of the population evaluated exhibited adverse intra-operative events such as hypotension and /or bradicardia, nausea, vomiting, thoracic or shoulder pain. There are no reports of postoperative mortality. In two of the cases, it was necessary to revert the technique to the use of general anaesthesia. During the postoperative period 21,7% of the patients showed some adverse events, such as nausea and vomiting. In the study, 90% of the patients were released from the hospital within the first 48 hours after the procedure. No intra or immediate post- operatory mortality was reported. Conclusions: Spinal anaesthesia is an alternative to keep in mind for procedures such as open cholecistectomy.

Keywords : spinal Anaesthesia; regional anaesthesia; cholecistectomy; laparoscopic colesistectomy.

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