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Anestesia combinada epidural-general ligera: una alternativa en cirugía plástica

By Henry Medina, Alejandro Londoño and Iván Fernando Quintero


ABSTRACTIntroductionAesthetic plastic surgery usually involves two or more surgical events taking place during the same anaesthetic procedure; the most widely used anaesthetic techniques are general and epidural anaesthesia. A very interesting alternative is the use of combined epidural and light general anaesthesia, attempting to obtain the benefits of each technique and reduce the disadvantages inherent in each one.ObjectiveDescribing the use of the combined epidural-light general anaesthesia technique in aesthetic surgery patients.MethodsThis was a descriptive case series in which data were collected from 67 patients having plastic surgery performed at the Corpus and Rostrum Clinic in Cali, who received combined epidural-light general anaesthesia between January and June 2008. Patients undergoing two or more anatomo-surgical events during the same anaesthetic procedure were included, as were those undergoing surgery with an anaesthetic requirement involving dermatomes over T4 and lumbar or sacral dermatomes at the same time.ResultsLocal anaesthetic volume and concentration were low as were general anaesthetic requirements. The most common side-effect was hypotension which was easily managed with vasopressors. There were no cases of intraoperative recall.ConclusionsThe light general-epidural anaesthesia technique is an attractive option for cosmetic surgery

Publisher: Revista Colombiana de Anestesiología. Published by Elsevier España, S.L.
Year: 2009
DOI identifier: 10.1016/S0120-3347(09)73006-0
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