Anestesia Espinal para Colecistectomía Laparoscópica

Spinal Anesthesia for Laparoscopic Collecistectomy

Authors

Keywords:

spinal anesthesia, cholecystectomy, laparoscopy, hyperbaric bupivacaine, complications

Abstract

Introduction: Spinal anesthesia for laparoscopic cholecystectomy has emerged as an alternative to general anesthesia Objective: To describe the results of spinal anesthesia in laparoscopic cholecystectomy. Method: A descriptive, longitudinal study was conducted at the Hospital Clínica Metropolitana, between January 2008 and June 2018, in 1118 patients who were administered spinal anesthesia with 0.5% bupivacaine, morphine and fentanyl to proceed to cholecystectomy. laparoscopic In them hemodynamic changes, analgesia, recovery and complications were determined. Descriptive statistics was applied and the data are expressed in percentages and arithmetic mean. Results: The mean age of the patients was 54 years. Of the patients under study, 17.88% presented hypotension as an intraoperative complication. Bradycardia occurred in 8.9% of patients. The two cardiovascular events recovered immediately with the use of vasopressor. The most frequent postoperative adverse events were right omalgia in 2.68% and vomiting in 1.78% of the total patients studied. In the postoperative period, the analgesic response without pain was in 99% of the total cases. All had a recovery without incident, at 24 hours they were discharged. Conclusions: Laparoscopic cholecystectomy with spinal anesthesia can be performed safely and satisfactorily without complications.

Downloads

Download data is not yet available.

Author Biography

Ana Verónica Chiriboga Aguayo

Médico General

Especialista en Anestesiología y Reanimación

References

Kowaleswski R, Seal D, Tang T, Prusinkiewicz C, Ha D. Neuraxial anesthesia for cardiac surgery: Thoracic epidural and high spinal anesthesia – why is it different? HSR Proc Intensive Care Cardiovasc Anesth 2011;3(1):25-28

Lee TW, Grocott HP, Schwinn D, Jacobsohn E. High spinal anesthesia for cardiac surgery. Effects on b-adrenergic receptor function, stress response, and hemodynamics. Anesthesiology 2003;98(2):499-510

Van Zundert AA, Stultiens G, Jakimowicz JJ, van den Borne BE, van der Ham WG, Wildsmith JA. Segmental spinal anesthesia for cholecystectomy in a patient with severe lung disease. Br J Anesth 2006;96(4):464-6

Imbelloni LE, Pitombo PF, Ganem EM. The Incidence of Paresthesia and Neurologic Complications after Lower Spinal Thoracic Puncture with Cut Needle Compared to Pencil Point Needle. Study in 300 Patients. J Anesthe Clinic Res 2010;1(2):106

Soper NJ, Stockman PT, Dunnegan DL, Ashley SW. Laparoscopic cholecystectomy: The new “gold standard”?. Arch Surg 1992 Aug;127(8):917-21

Tzoravaras G, Fafoulakis F, Pratsas K, Georgopoulou S, Stamatiou G, Hatzitheofilou C. Laparoscopic cholecystectomy under spinal anesthesia. A pilot study. Surg Endosc 2006 Apr;20(4):580-2

Tiwari S, Chauhan A, Chaterjee P, Alam MT. Laparoscopic cholecystectomy under spinal anaesthesia: A prospective, randomised study. Journal of minimal access surgery 2013;9(2):65-71

Sinha R, Gurwara AK, Gupta MS. Laparoscopic cholecystectomy under spinal: A study of 3492 patients. J Laparendoscosc Adv Surg Tech A 2009 Jun;19(3):323-7

Imbelloni LE, Quirici MB, Ferraz-Filho JR, Cordeiro JA, Ganem EM. The anatomy of the thoracic spinal canal investigated with magnetic resonance imaging. Anesth Analg 2010 May 1;110(5):1494-5

Bajwa SJ, Kulshrestha A. Anaesthesia for laparoscopic surgery General vs regional anaesthesia. J Min Acces Sur 2016;12(1):4-9 11. Yuksek YN, Akat AZ, Gozalan U, Daglar G, Pala Y, Canturk M, et al. Laparoscopic cholecystectomy under spinal anesthesia. Am J Surg 2008 Apr;195(4):533-6

Chui PL, Gin T, Oh TE. Anesthesia for laparoscopic general surgery. Review Anaesth Intensive Care 1993;21(2):163-71

Gouveia MA, Imbelloni LE. Understanding spinal anesthesia (Letter to Editor). Acta Anaesthesiol Scand 2006 Feb;50(2):259-60

Turkstani A, Ibraheim O, Khairy G, Alseif A, Khalil N. Spinal versus general anesthesia for laparoscopic cholecystectomy: a cost effectiveness and side effects study. Anaesth Pain & Intensive Care 2009;13(1):9-14

Imbelloni LE, Gouveia MA. A comparison of thoracic spinal anesthesia with lowdose isobaric and low-dose hyperbaric bupivacaine for orthopedic surgery: A randomized controlled trial. Anesth Essays Res 2014;8:26-31.

Jiménez Juan, Chica Juan, Vargas Daniel. Anestesia espinal para colecistectomía laparoscópica. Rev. Col. Anest. Mayo-Julio 2009, Vol. 37. No. 2;111-118

Published

2019-06-30

How to Cite

1.
Chiriboga M, Chiriboga Aguayo AV. Anestesia Espinal para Colecistectomía Laparoscópica: Spinal Anesthesia for Laparoscopic Collecistectomy. lauinvestiga [Internet]. 2019 Jun. 30 [cited 2024 Dec. 5];6(1):20-9. Available from: http://948545.elmit.asia/index.php/lauinvestiga/article/view/327

Issue

Section

Original articles

Most read articles by the same author(s)

Similar Articles

1 2 3 > >> 

You may also start an advanced similarity search for this article.