Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease?
Spinal anesthesia is generally prohibited in patients with severe valvular heart disease (e.g. severe aortic stenosis), cardiomyopathies and heart failure concerning the hemodynamic effects of sympathetic system blockade in patients with limited cardiac output. Intrathecal single injection of low d...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2024-09-01
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| Series: | Archives of Anesthesia and Critical Care |
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| Online Access: | https://aacc.tums.ac.ir/index.php/aacc/article/view/1012 |
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| author | Maryam Vosoughian Shide Dabir Faramarz Mosaffa |
| author_facet | Maryam Vosoughian Shide Dabir Faramarz Mosaffa |
| author_sort | Maryam Vosoughian |
| collection | DOAJ |
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Spinal anesthesia is generally prohibited in patients with severe valvular heart disease (e.g. severe aortic stenosis), cardiomyopathies and heart failure concerning the hemodynamic effects of sympathetic system blockade in patients with limited cardiac output. Intrathecal single injection of low doses of local anesthetic in combination with low dose short acting opioids can be administered safely in lower abdominal and lower limb surgeries lasting 60 to 90 minutes . In longer surgeries, epidural catheters can be inserted through the epidural needle into the intraspinal space and intermittently administered low doses of local anesthetic plus low doses of fentanyl or sufentanil as needed.
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| format | Article |
| id | doaj-art-e449f1abd42c4fadabf88735949a6837 |
| institution | Kabale University |
| issn | 2423-5849 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Archives of Anesthesia and Critical Care |
| spelling | doaj-art-e449f1abd42c4fadabf88735949a68372025-02-09T08:53:30ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492024-09-0111110.18502/aacc.v11i1.17502Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease?Maryam Vosoughian0Shide Dabir1Faramarz Mosaffa2Anesthesiology Research Center, Department of Anesthesiology & Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Anesthesiology Research Center, Department of Anesthesiology & Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Anesthesiology Research Center, Department of Anesthesiology & Critical Care, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Spinal anesthesia is generally prohibited in patients with severe valvular heart disease (e.g. severe aortic stenosis), cardiomyopathies and heart failure concerning the hemodynamic effects of sympathetic system blockade in patients with limited cardiac output. Intrathecal single injection of low doses of local anesthetic in combination with low dose short acting opioids can be administered safely in lower abdominal and lower limb surgeries lasting 60 to 90 minutes . In longer surgeries, epidural catheters can be inserted through the epidural needle into the intraspinal space and intermittently administered low doses of local anesthetic plus low doses of fentanyl or sufentanil as needed. https://aacc.tums.ac.ir/index.php/aacc/article/view/1012Heart diseaselocal anestetic opioidopioidspinal anesthesia |
| spellingShingle | Maryam Vosoughian Shide Dabir Faramarz Mosaffa Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease? Archives of Anesthesia and Critical Care Heart disease local anestetic opioid opioid spinal anesthesia |
| title | Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease? |
| title_full | Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease? |
| title_fullStr | Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease? |
| title_full_unstemmed | Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease? |
| title_short | Is It Still Prohibited to Perform Spinal Anesthesia in Patients with Advanced Heart Disease? |
| title_sort | is it still prohibited to perform spinal anesthesia in patients with advanced heart disease |
| topic | Heart disease local anestetic opioid opioid spinal anesthesia |
| url | https://aacc.tums.ac.ir/index.php/aacc/article/view/1012 |
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