Our experiences of low dosage spinal anesthesia in emergency trauma patients

Abstract

Background: Nowadays, spinal anesthesia (SA) for trauma and orthopedics low limb surgery becomes a standard procedure because of its simplicity and fewer complications versus general anesthesia (GA). The development of peroperative hypotension and bradicardia during SA are common side effects, and they can be found in less than 30% of the cases (mostly in emergent cases and geriatric population) (1). Low dose SA with its quick onset and few complications seem to be an alternative for those patients. There are only few data about its use in emergent trauma patients (2, 3, 4). The aim of the study was to compare the effects of standard spinal anesthesia (SSA) vs. LDSA in emergency trauma cases and to analyze its efficiency, peroperative clinical manifestation and side effects.