Zusammenfassung
Die vorliegende Untersuchung erfasste prospektiv insgesamt 56 Spinalanästhesien bei 50 erwachsenen Patienten, die zu elektiven Operationen anstanden, wobei alle Patienten anamnestisch eine lumbale Laminektomie aufwiesen. Die hohe Erfolgsquote der Spinalanästhesie von 100 % und die niedrige Rate an passageren Nebenwirkungen sollten Anlass geben, das Verfahren bei dieser Konstellation nicht mehr als relativ kontraindiziert anzusehen. Auch im ambulanten Bereich hat sich die Spinalanästhesie bei diesem Patientengut als sichere Alternative zur Periduralanästhesie erwiesen.
Abstract
In anaesthesia textbooks, spinal anaesthesia is described as relatively contraindicated in patients with a history of lumbar spinal surgery. In order to assess the feasibility of spinal anaesthesia in these patients, we performed 56 spinal anaesthetics in 50 consecutive patients with previous lumbar spinal surgery. Our success rate of spinal anaesthesia was 100 %. Side effects were only minor and had a low incidence. We conclude that spinal anaesthesia is a viable technique in these patients.
Schlüsselwörter
Spinalanästhesie - Zustand nach lumbaler Laminektomie - ambulante Patienten
Key words
Spinalanaesthesia - history - lumbar spinal surgery - laminectomy - hyperbaric technique - outpatients
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Dr. med. Ulrich Jost
Anästhesiologie Caritas-Krankenhaus (Chefarzt Prof. Dr. H. Böhrer)
Uhlandstr. 7
97980 Bad Mergentheim
Email: ulrich.jost@ckbm.de
