Viabilidad de la anestesia raquídea con sedación para procedimientos laparoscópicos generales en pacientes con riesgo moderado.

Viabilidad de la anestesia raquídea con sedación para procedimientos laparoscópicos generales en pacientes con riesgo moderado. THE FEASIBILITY OF SPINAL ANESTHESIA WITH SEDATION FOR LAPAROSCOPIC GENERAL ABDOMINAL PROCEDURES IN MODERATE RISK PATIENTS Yasser Ali, M Nagui Elmasry, Hisham Negmi, Hossam Al Ouffi, Bamehriz Fahad, and Salem Abdel Rahman M.E.J. ANESTH 19 (5) 2008 Abstract Background: One of the major advantages of laparoscopic surgery is minimizing postoperative morbidity. The previous limitations to the use of spinal anesthesia in laparoscopic surgery were the limited work space, high failure rate, more intra-operative morbidity and significant arterial blood gas alterations. However, the addition of a small-dose Ketamine infusion to propofol might provide a suitable sedative combination to be used with high spinal anesthesia, producing titerable sedation, increased hemodynamic stability, and minimal respiratory depression. http://www.csen.com/lap.pdf

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