Avtor/Urednik		Marić, S; Kodrič, N
Naslov		Combined spinal and epidural anaesthesia for the hip replacement surgery in a myasthenia gravis patient
Tip		članek
Vir		In: Zabavnik Z, editor. Book of lectures of the 16th anaesthesia symposium Alpe Adria; 2003 May 9-11; Maribor. Maribor: Splošna bolnišnica,
Leto izdaje		2003
Obseg		str. 31-4
Jezik		eng
Abstrakt		Background and objectives: A 52- year old woman with a history of myasthenia gravis (MG) presented for insertion of total uncemented hip prosthesis. Methods: A combined spinal-epidural anaesthesia (CSEA) was initiated preoperatively with subarachnoid bolus of 0,5% bupivacaine (3,5 ml) in the L3-4 intervertebral space, and followed by PCEA (patient control epidural analgesia) device postoperatively. PCEA with continuous infusion of 0,2% ropivacaine at 4 mVh, bolus dose of 3 ml and lockout time of 30 min, was implemented via an epidural catheter inserted in the L3-4 intervertebral space. The vital signs and visual analogue scale (VAS) were recorded peri- and postoperatively within 48 h. Results: The patient had an optimal anaesthesia during surgery and a pain free postoperative recovery, uncomplicated by muscle weakness. The vital signs, including systolic and diastolic blood pressure, heart rate, Sa02, pH and PaC02 were normal.
Deskriptorji		MYASTHENIA GRAVIS ANESTHESIA, SPINAL ANESTHESIA, EPIDURAL HIP PROSTHESIS MIDDLE AGE BUPIVACAINE