Gerancher J C, Carpenter R L
Virginia Mason Medical Center, Seattle, Washington, USA.
Reg Anesth. 1996 Sep-Oct;21(5):480-1.
A continuous spinal anesthetic was planned and conducted for a medically compromised and demented 80-year-old man presenting for repair of an intratrochanteric hip fracture.
A peripheral nerve stimulator was successfully employed to monitor the height and to help time the redosing of the continuous spinal anesthetic.
The use of a peripheral nerve stimulator allowed careful titration of our continuous spinal anesthetic to provide dense analgesia at the surgical site for 1 hour 5 minutes, using a total spinal dose of 27 mg lidocaine and 7.5 micrograms spinal fentanyl.
A standard peripheral nerve stimulator is an effective monitor to help optimize management of continuous spinal anesthesia.
