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Combined epidural-light general anaesthesia: an alternative in plastic surgery. Clinica Rostrum y Corpus, Cali. Universidad del Valle. Email: hmedina20 gmail. No se presentaron casos de recuerdo intraoperatorio.

Introduction: Aesthetic plastic surgery usually involves two or more surgical events taking place during the same anaesthetic procedure; the most widely used anaesthetic techniques are general and epidural anaesthesia. A very interesting alternative is the use of combined epidural and light general anaesthesia, attempting to obtain the benefits of each technique and reduce the disadvantages inherent in each one.

Objective: Describing the use of the combined epidural-light general anaesthesia technique in aesthetic surgery patients. Methods: This was a descriptive case series in which data were collected from 67 patients having plastic surgery performed at the Corpus and Rostrum Clinic in Cali, who received combined epidural-light general anaesthesia between January and June Patients undergoing two or more anatomo-surgical events during the same anaesthetic procedure were included, as were those undergoing surgery with an anaesthetic requirement involving dermatomes over T4 and lumbar or sacral dermatomes at the same time.

Results: Local anaesthetic volume and concentration were low, as were general anaesthetic requirements. The most common side-effect was hypotension which was easily managed with vasopressors.

There were no cases of intraoperative recall. Conclusions: The light general-epidural anaesthesia technique is an attractive option for cosmetic surgery. Tabla 1. Asociado al bloqueo neuroaxial, 40 pacientes El No se presentaron episodios de bradicardia que requirieran manejo con atropina. Tabla 2. Sevoflurane requirements to suppress responses to transcutaneous electrical stimulation during epidural anesthesia with 0.

Anesth Analg. Combined general and epidural anesthesia with ropivacaine for renal transplantation. Minerva Anestesiol. The effect of epidural bupivacaine on induction and maintenance doses of propofol and maintenance doses of fentanyl and vecuronium.

Reduction in requirement of propofol during combined epidural and general anesthesia guided by bispectral index.

Zhang J, Zhang W. The effects of epidural anesthesia with different concentrations of ropivacaine on sevoflurane requirements. Sevoflurane requirements during coloproctologic surgery difference between two different epidural regimens. J Clin Anesth. Kwo Jean. In: Massachusetts General Hospital. Anestesia, Translated 6th ed. Madrid: Marban, S.

Clinical results of combined epidural and general anesthesia procedure in radical prostatectomy management.

Can J Urol. Can J Anesth. Thoracic epidural anesthesia combined with general anesthesia: the preferred anesthesia technique for thoracic surgery. Anesth Anal. Effects of epidural and general anesthesia combined versus general anesthesia alone on the venous hemodynamics of the lower limb. A randomized study. Thromb Haemost. Refractory hypotension during combined general and epidural anesthesia in a patient on tryciclic antidepressants.

Anaesth Intensive care. Bernards Christopher M. Epidural and spinal anesthesia. In Barash PG Ed. Clinical anesthesia, 5th ed. Philadelphia: Lippincott Williams and Wilkins, The effect of epidural anesthesia with different concentrations of ropivacaine on sevoflurane requirements.

Anesth Analg ; 4 : Br J Anaesth. Bispectral index monitoring in morbidly obese patients undergoing gastric bypass surgery: experience in 23 patients. Obesity surgery. An epidemiologic observational study on 1, consecutive patients. Ephedrine but not phenylephrine increases bispectral index values during combined general and epidural anesthesia.

The effect of epidural analgesia on postoperative outcome after colorectal surgery. Colorectal Dis. Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: a meta-analysis. Arch Surg. General anesthesia versus epidural and general anesthesia in radical cistectomy. Urol Int. Towards evidence based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylatics.

Heath Technol Assess. Services on Demand Article. Tabla 1 Asociado al bloqueo neuroaxial, 40 pacientes How to cite this article.


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