Abstract

LIMA AGUIAR, Junior Manuel; RODRIGUEZ CASAS, Ernesto  and  GARCIA GARCIA, Edwin. Combined subarachnoid-epidural anesthesia by double space technique for abdominal hysterectomy. Rev Cub Med Mil [online]. 2008, vol.37, n.2. ISSN 0138-6557.

A descriptive, prospective and cross-sectional study was undertaken in 100 female patients scheduled for abdominal hysterectomy in "Dr. Carlos J. Finlay", Military Central Hospital from October 2004 to June 2005. They were selected by convenience. Subarachnoid epidural anesthesia by doble space technique was administered to them in order to evaluate its quality. Adults with physical state I, II and with no contraindication for the anesthetic method, according to the American Society of Anesthesiology, were included. A peridural catheter was placed at the thoracic level 11-12 and subarachnoid puncture was performed between the lumbar spaces 3-4. Fentanyl 25 µg and intrathecal bupivacaine (0.5 %) 10 mg and 50 mg of epidural bupivacaine (0.5 %) were injected. The variables median arterial pressure, heart rate, quality of the sensitive blocking, degree of motor blocking and anesthetic complications were studied. The mean of the arterial pressure descended 8 mmHg and the heart rate 4 beats/min with statistical significance. The quality of the sensitive blocking was good in all the patients, as well as the complete motor blocking. The complications were hypotension in 15 patients, bradycardia in 7 and both in 2. The anesthetic technique was satisfactory.

Keywords : Combined subarachnoid-epidural anesthesia; abdominal hysterectomy.

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