Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 3  |  Page : 324-327

Continuous Spinal Anaesthesia an Underused Technique Revisited: A Case Report


1 Assistant Professor, Department of Anaesthesiology and Intensive Care, St. John's Medical College Hospital, Bangalore-560034, Karnataka, India
2 Professor, Department of Anaesthesiology and Intensive Care, St. John's Medical College Hospital, Bangalore-560034, Karnataka, India
3 Professor & Head, Department of Anaesthesiology and Intensive Care, St. John's Medical College Hospital, Bangalore-560034, Karnataka, India

Correspondence Address:
Reena Nayar
Department of Anaesthesiology and Intensive Care, St. John's Medical College Hospital, Bangalore-560034, Karnataka
India
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Source of Support: None, Conflict of Interest: None


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A 35-year-old male patient with ischaemia of the right lower limb due to peripheral vascular disease, with comorbid conditions such as coronary artery disease, hypertension and COPD, was posted for a femoro femoral crossover graft. A continuous spinal anaesthesia technique was used, wherein bolus doses of bupivacaine 0 .5% was delivered intermittently in the subarachnoid space, via a 20 gauge epidural catheter. The benefits of this technique were the rapidity of action, minimal of the amount of drug used., and an ability to achieve the desired segmental level of anaesthesia. A review of literature, analysis of benefits and drawbacks of this underused technique is presented.


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