Soonchunhyang Med Sci.  2016 Jun;22(1):59-63. 10.0000/sms.2016.22.1.59.

Anesthetic Experience of Spinal Anesthesia after Sedation in Un-cooperated Elderly Patients

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. ch1s@schmc.ac.kr

Abstract

Regional anesthesia is mostly used in operations on the lower abdomen or lower extremities in elderly patients. It shows nearly no difference in long-term outcomes compared to general anesthesia, but it is used more often because of the several advantages. However, during the regional anesthetic procedures, the patient must cooperate and has to be lateral decubitus position without physical movement. Therefore, in the case of the patients who are not cooperated, it may be not easy to perform regional anesthesia. In this study, we present 3 case reports that regional anesthesia after sedation is performed in un-cooperated patients. Regional anesthesia after sedation may be a good method to improve outcomes in un-cooperated elderly patients.

Keyword

Bispectral index monitors; Sedation; Spinal anesthesia

MeSH Terms

Abdomen
Aged*
Anesthesia, Conduction
Anesthesia, General
Anesthesia, Spinal*
Consciousness Monitors
Humans
Lower Extremity
Methods
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