Continuous spinal anesthesia for renal homotransplantation
10.3760/cma.j.issn.1673-4203.2009.08.011
- VernacularTitle:连续腰麻用于肾移植手术的临床观察
- Author:
Ye ZHANG
;
Bin ZHANG
;
Ming TIAN
;
Shuren LI
- Publication Type:Journal Article
- Keywords:
continuous spinal anesthesia;
Spinocath catheter;
ropivacaine;
renal homotransplantation
- From:
International Journal of Surgery
2009;36(8):528-530
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the feasibility and safety of continuous spinal anesthesia (CSA) in renal transplantation through comparing the effects of combined spinal and epidural anesthesia (CSEA) and CSA renal transplantation. Methods Sixty patients undertaking renal transplantation were divided into two groups randomly. Group A, 30 patients, undertaking operation with CSEA; Group B, 30 patients, undertaking operation with CSA. The patients in group A were injected 2 mL 0.75% ropivacaine, then epidural catheter was inserted, 0. 75% ropivacaine 10 mL was administered when needed. The patients in group B were injected 2 mL 0.75% ropivacaine into spinal through Spinocath catheter, and 0.75% ropivacaine 1ml was administered through Spinocath catheter when needed. We observed the effects of the two anesthesia methods and the changes of the patients' vital signs. Results The patients in group A and B all completed the operation smoothly; there were no significant differences in the circulatory function before and during operation; there were no complications related to anesthesia in all the patients; group B was superior to group A in the aspects of the control and maintaining of anesthesia. Conclusion Continuous spinal anesthesia applied to renal transplantation is safe and feasible.
