CONTINUOUS SPINAL ANAESTHESIA FOR PROSTATICADENOMECTOMY IN PATIENT WITH SEVERE AORTIC STENOSIS

Continuous spinal anesthesia is an interesting alternative in patients at high cardiac risk. We report the case of a patient who was scheduled to undergo prostatic adenomectomy. The pre-anesthetic consultation revealed a tight aortic stenosis. In the absence of therapeutic options at the aortic level, it was decided to operate this patient under continuous spinal anesthesia. This technique consists of placing a catheter intrathecally allowing the injection of a low dose of local anesthetic.our unit did not have a continuous spinal anesthesia kit, an epidural anesthesia kit was used as an alternative.连续椎管内麻醉（continuous spinal anesthesia）对于合并高心脏风险的患者而言是一种值得关注的备选麻醉方案。本文报告一例拟行前列腺切除术（prostatic adenomectomy）的患者病例：术前麻醉会诊提示其存在重度主动脉瓣狭窄（aortic stenosis）。鉴于主动脉瓣层面暂无有效治疗手段，最终决定采用连续椎管内麻醉为该患者实施手术。该技术通过在鞘内置入导管，实现低剂量局部麻醉药物的持续输注。 笔者所在科室当时并无专用连续椎管内麻醉套件，故改用硬膜外麻醉套件（epidural anesthesia kit）作为替代方案。