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Canadian Journal of Anesthesia, Vol 38, 341-344, Copyright © 1991 by Canadian Anesthesiologists' Society

ARTICLES

Continuous spinal anaesthesia for abdominal surgery in a patient receiving amiodarone

DJ Kopacz
Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington.

The perioperative management of a 57-yr-old patient receiving chronic amiodarone therapy with a continuous spinal anaesthetic for a low anterior resection of the colon is discussed. The most appropriate anaesthetic technique for patients receiving chronic amiodarone therapy remains controversial, but the avoidance of general anaesthesia may be beneficial because of the risk of postoperative pulmonary failure. In this patient continuous spinal anaesthesia was slowly titrated to the desired level, coincident haemodynamic alterations were easily treated as they developed, and high serum local anaesthetic concentrations which occur with other regional anaesthetic techniques were avoided.




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Copyright © 1991 by the Canadian Anesthesiologists' Society.