SPIN ANESTHESIA IN SURGICAL PRACTICE: BENEFITS AND CHALLENGES
DOI:
https://doi.org/10.36557/pbpc.v3i2.70Keywords:
Spinal anesthesia, Surgery, Effectiveness.Abstract
Spinal anesthesia, also known as spinal anesthesia, is a regional anesthetic technique widely used in various surgeries, especially in procedures below the abdomen. This approach offers numerous benefits, including rapid anesthetic induction, hemodynamic stability, and lower risk of respiratory complications compared to general anesthesia. However, the practice of spinal anesthesia also presents significant challenges, such as the potential occurrence of hypotension and post-dural puncture headache. Objective: Explore and analyze the application of spinal anesthesia in surgical procedures, highlighting its advantages and challenges. Methodology: The Cochrane, Scielo and Medline databases were used, searching for articles published between 2023 and 2024, in Portuguese or English. Final Considerations: Spinal anesthesia is valued in surgical practice for its rapid induction and lower respiratory complications compared to general anesthesia. However, it presents challenges such as hypotension and post-dural puncture headache. Thus, the success of this technique depends on the skill of the anesthesiologist and the effective management of adverse effects, as well as investing in continuous education and research is essential to improve the safety and effectiveness of spinal anesthesia.
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Amin S, Hasanin A, Mansour R, Mostafa M, Zakaria D, Arafa AS, et al. Oral midodrine for prophylaxis against post-spinal anesthesia hypotension during hip arthroplasty in elderly population: a randomized controlled trial. BMC Anesthesiol [Internet]. 2024 [cited 2024 Abril 22];64–4. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-38355397
Casagrande AF, Dutra DS, Ferreira LCC, Nunes MR. O uso da raquianestesia em situações cirúrgicas: uma revisão de literatura. Research, Society and Development [Internet]. 2022 Aug 23;11(11):e283111133689–e283111133689. Available from: https://rsdjournal.org/index.php/rsd/article/view/33689/28439
Cesar AS, Rejaili GFA, Silva GC da, Viter ACR, Pordeus DA, Ferreira IG, et al. DESMISTIFICANDO OS TIPOS DE ANESTESIA: UMA EXPLORAÇÃO ABRANGENTE DAS OPÇÕES E PROCEDIMENTOS. Revista Ibero-Americana de Humanidades, Ciências e Educação [Internet]. 2023 Aug 21 [cited 2023 Dez 18];9(7):1257–69. Available from: https://periodicorease.pro.br/rease/article/download/10694/4483/17098
Li S, Liu X, Ren X, Bai Y, Li L, Zhang Q, et al. Application of Hip Pericapsular Nerve Block Combined With Spinal Anesthesia in the Treatment of Elderly Patients With Femoral Intertrochanteric Fracture. Journal of Musculoskeletal & Neuronal Interactions [Internet]. 2024 Jun 1 [cited 2024 Abril 22];24(2):178–84. Available from: https://pubmed.ncbi.nlm.nih.gov/38826000/
Oliveira TR de, Louzada LAL e, Jorge JC. Spinal anesthesia: pros and cons. Revista Médica de Minas Gerais. 2015;25.
Santos R, Dias A, de Á, Lucas Correia Lins, Fabiano Timbó Barbosa, Joany S. Effectiveness and safety of ultra-low-dose spinal anesthesia versus perineal blocks in hemorroidectomy and anal fistula surgery: a randomized controlled trial. Brazilian Journal of Anesthesiology (English Edition). 2023 Nov 1;73(6):725–35.
Tavares NC, Brinati ALS, Mendes LM, Correa KFR, Zinn AKA. Anestesia Regional e Bloqueios Nervosos: Uma análise das técnicas de anestesia regional, incluindo bloqueios nervosos periféricos e raquianestesia, e suas aplicações em cirurgias específicas. Brazilian Journal of Implantology and Health Sciences [Internet]. 2023 Oct 6 [cited 2023 Dez 18];5(5):448–59. Available from: https://bjihs.emnuvens.com.br/bjihs/article/view/620
Tawfik MM, Tolba MA, Ismail OM, Messeha MM. Ultrasonography versus palpation for spinal anesthesia in obese parturients undergoing cesarean delivery: a randomized controlled trial. Regional Anesthesia & Pain Medicine [Internet]. 2023 May 15 [cited 2024 Abril 27]; Available from: https://rapm.bmj.com/content/early/2023/05/15/rapm-2022-104272
UNIVERSIDADE FEDERAL DE CAMPINA GRANDE CENTRO DE EDUCAÇÃO E SAÚDE UNIDADE ACADÊMICA DE SAÚDE CURSO DE BACHARELADO EM FARMÁCIA FLAVIANA PONTES SOARES MACEDO EFEITOS COLATERAIS DE ANESTÉSICOS PÓS CIRURGIA: UMA REVISÃO INTEGRATIVA [Internet]. [cited 2023 Dez 18]. Available from: http://dspace.sti.ufcg.edu.br:8080/jspui/bitstream/riufcg/28819/1/FLAVIANA%20PONTES%20SOARES%20MACEDO%20-%20TCC%20BACHARELADO%20EM%20FARM%C3%81CIA%20CES%202022.pdf
Vail EA, Feng R, Sieber F, Carson JL, Ellenberg SS, Magaziner J, et al. Long-term outcomes with spinal versus general anesthesia for hip fracture surgery: A randomized trial. Anesthesiology [Internet]. 2024 Jan 5; Available from: https://pubs.asahq.org/anesthesiology/article/140/3/375/139299/Long-term-Outcomes-with-Spinal-versus-General
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Copyright (c) 2024 Marília Ferreira Camargo, Danillo Pedro Mendes da Silva, Gabriel Barbosa Menezes , Ana Clara Andrade Noronha Santos, Roger Andrade Da Silva, Aline Cristina da Silva Duarte Pontifícia , Vitória Alagia Ripari , Luísa Teixeira Silveira , Delza Correia Lima , Bárbara Cirilo de Sá Coscia, Geovanna Beatriz de Arruda e Silva , Maria Queiroga Pinto, Débora Morgana Bezerra da Costa, Brunno Alexandre Pereira da Cunha

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