ConsultantProfessor of Anesthesiology and Reanimation, Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Pristina, Pristina, Kosovo.
Acta Clin Croat. 2022 Sep;61(Suppl 2):129-134. doi: 10.20471/acc.2022.61.s2.17.
This article includes two topics - anesthesia for spinal surgery and difficult airway, both of them are linked with the same topic, which is regional anesthesia. In recent years, regional anesthesia for spinal surgery has gained a great popularity, where neuraxial blocks are the first choice. Regional anesthesia seems to have benefits against general anesthesia due to lower rate of perioperative and postoperative complications, lower cost and length of stay. This is more evident in elderly population or patients with comorbidities. On the other hand, difficult airway is the life threatening condition and requires increased attention. There are many methods and tools for managing difficult airways, but there are few supporters of regional anesthesia as an option or solution in these cases. Of course, special attention is required during regional anesthesia in a patient with difficult airway, the decision must be correct, and an anesthesiologist must have a preformulated strategy for airway management. However, does not the same happen even when we apply general anesthesia?
本文包含两个主题——脊髓手术的麻醉和困难气道，它们都与区域麻醉这同一主题相关。近年来，脊髓手术的区域麻醉越来越受欢迎，其中神经轴阻滞是首选。由于围手术期和术后并发症的发生率较低、成本和住院时间较短，区域麻醉似乎优于全身麻醉。这在老年患者或合并症患者中更为明显。另一方面，困难气道是危及生命的情况，需要引起更多关注。有许多方法和工具可用于处理困难气道，但在这些情况下，很少有人支持将区域麻醉作为一种选择或解决方案。当然，在困难气道患者中进行区域麻醉时需要特别注意，决策必须正确，麻醉师必须制定出预先制定的气道管理策略。然而，即使我们应用全身麻醉时不也是这样吗？
