[Spinal anesthesia in a patient with hemiparesis after poliomyelitis].
A seventy-year-old man who underwent transurethral resection of the prostate (TUR-P), had carried over the palsy after poliomyelitis inflicted at one year of age. Spinal anesthesia using with 7 mg of hyperbaric tetracaine with dextrose solution was performed for this surgery. The running pressure of D-sorbitol solution was 50 cmH2O during the operation. The operation time was 41 minutes and the balance of running water was -200 ml. After this TUR-P, there was no progression of his palsy, muscle atrophy or no aggravation of autonomic system immediately after the operation, 3 months later and 6 months later, respectively. This case suggests that spinal anesthesia can be applied in post-poliomyelitis patients. The perioperative maintenance of electrolyte control for endoscopic surgery with water running is more important than anesthetic procedure itself in this case.
Higashizawa
Tomoaki
T
Department of Anesthesia, Sakai Hospital in Institute of Basic-Clinical Medicine, Kinki University, Sakai 590-0132.
Sugiura
Junko
J
Takasugi
Yoshihiro
Y
D000368:Aged; D000775:Anesthesia, Spinal; D004573:Electrolytes; D006801:Humans; D008297:Male; D010291:Paresis / Q000209:etiology*; D010477:Perfusion; D019990:Perioperative Care; D011051:Poliomyelitis / Q000150:complications*; D020728:Transurethral Resection of Prostate
D004573:Electrolytes