Techniques in Regional Anesthesia & Pain Management
Volume 12, Issue 1 , Pages 54-56, January 2008

Spinal anesthesia in cardiac surgery

  • Trevor W.R. Lee, BSc, BScMed, MD, MRCA, FRCPC, FASE

      Affiliations

    • Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada
    • Department of Anesthesia and Perioperative Medicine, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
    • ,
  • Eric Jacobsohn, MBChB, MHPE, FRCPC

      Affiliations

    • Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada
    • Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada.
    • Corresponding Author InformationAddress reprint requests and correspondence: Eric Jacobsohn, MBChB, MHPE, FRCP, Winnipeg Regional Health Authority (WRHA) Anesthesia Program, Room LB315 Lennox Bell Lodge, 60 Pearl Street, Winnipeg, Manitoba, Canada R3E 1X2.

Regional anesthesia for cardiac surgery is becoming an integral part of a balanced cardiac anesthetic in many tertiary care centers. This article reviews the historical as well as the more recent literature regarding the use of spinal anesthesia in cardiac surgery. Intrathecal morphine and its effects on postoperative pulmonary function are discussed. The use of high-dose intrathecal local anesthetics with or without intrathecal morphine is also reviewed. In addition, a detailed description of the total spinal anesthetic technique is provided. Perioperative risk analysis of regional anesthesia for cardiac surgery, focusing on spinal and epidural hematoma formation, is also discussed.

Keywords: Anesthesia, Regional, Cardiac, Spinal, Risk, Review

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PII: S1084-208X(07)00092-4

doi:10.1053/j.trap.2007.10.008

Techniques in Regional Anesthesia & Pain Management
Volume 12, Issue 1 , Pages 54-56, January 2008

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