Can subarachnoid anesthesia plus epidural anesthesia be performed sequentially?

Of course, this method can be used, but can you ensure that the epidural catheter before the operation will not change the position of the catheter during the operation? Have you done a test to ensure that the epidural anesthesia is effective? Can you ensure that the catheter is not Bacteria are not brought into the epidural space during the operation to cause infection? Can the elderly tolerate long-term awake supine surgery? These are all problems. How do you deal with the epidural failure? The elderly have poor cardiopulmonary function, How to ensure the problem of carbon dioxide accumulation after you add sedative drugs? In fact, advanced age and poor physical fitness are not contraindications to general anesthesia. On the contrary, patients are more prone to accidents during spinal anesthesia. You can choose anesthesia operations that have little impact on hemodynamics and Drugs, such as etomidate and laryngeal mask, pre-pump dopamine, etc., can be solved as long as you take care of yourself.

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