Intravenous anesthesia


Anesthesia and Pain Medicine. 2003 Dec. 7(4): 166-170
ⓒ Korean Society for Intravenous Anesthesia
Regional Anesthesia for Lumbar Open Discectomy in a Patient with Coronary Arterial Disease -A case report-
Yoo-Kyung Kim, M.D., Hong-Seuk Yang, M.D., Jung-Gill Lim, M.D., Cheong Lee, M.D., and Jin-Woo Shin, M.D.
Department of Anesthesiology, College of Medicine, University of Ulsan, Seoul, Korea

Regional anesthesia a good alternative to general anesthesia for spine surgery, but the physiological and clinical benefits of regional anesthesia for patient with cardiovascular disease are less well established and the potential risk of compromising the coronary circulation with sudden hypotension must be taken into account. We report a case of regional anesthesia for lumbar open discectomy in the patient with coronary arterial disease. A 64-year old male patient with herniated intervertebral disc at L3(-4) was scheduled for open discectomy, but it was detected that the patient has problems in the coronary arterial patency during preoperative evaluation. To minimize the risks of cardiac events, regional anesthesia was performed. The operation was completed without any events and the patient was discharged 7 days after the operation. The effects of regional and general anesthesia in the patients with coronary arterial disease are discussed.
Key words : Coronary artery disease, regional anesthesia, spine surgery
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