Lumboperitoneal Shunt Under Spinal Anesthesia
- VernacularTitle:脊髄くも膜下麻酔での腰椎腹腔シャント術 ─連続８例の経験から─
- Author:
Yu TAJIMA
1
;
Koji NAKAO
2
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2025;74(4):384-390
- CountryJapan
- Language:Japanese
- Abstract: Lumboperitoneal shunt (LPS) is often performed under general anesthesia. In our hospital, there is no anesthesiologist and only two neurosurgeons. The majority of patients in our department are elderly. Since surgery under general anesthesia is risky for elderly patients with multiple comorbidities such as heart and respiratory diseases, we have been performing LPS under spinal anesthesia for the past 5 years. We investigated the surgical outcomes of LPS under spinal anesthesia during the period from April 2019 to March 2024. In total, 8 patients underwent LPS under spinal anesthesia. Four patients had temporary low blood pressure intraoperatively, but this was improved by administrating ephedrine in the operating room. No perioperative complications occurred. Lumbar puncture under spinal anesthesia is a common procedure for neurosurgeons. We consider LPS under spinal anesthesia to be minimally invasive and safe for elderly patients and spinal anesthesia may be a beneficial option for LPS.
