Abstract
The use of spinal analgesia combined with general anaesthesia has several benefits. It reduces the stress response, but only for the duration of the local anaesthetic effect, however if opiates are added there is a marked reduction in opiate need post-operatively. Use of spinal anaesthesia is safe but attention must be paid to the volume of injectate and timing of injection prior to pneumoperitoneum and head down position to avoid significant hypotension or a high spinal. The advantages of using spinal anaesthesia compared with epidural anaesthesia is improved early mobilization and reduction for the need of vasopressors and prolonged intravenous fluids. When using opiates in the injectate mixture patients should be observed for respiratory depression for the first 24 h.
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Dhillon, S., Scott, M.J.P. (2018). Spinal Analgesia as an Adjunct to General Anaesthesia for Laparoscopic Major Abdominal Surgery. In: Krige, A., Scott, M. (eds) Analgesia in Major Abdominal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-94482-1_7
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DOI: https://doi.org/10.1007/978-3-319-94482-1_7
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