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Messages - risottolover

#1
Regional Anesthesia / spinal anaesthesia and sepsis
August 07, 2010, 07:29:34 PM
would you do a spinal anaesthesia for a 70 year old man with congestive cardiac failure for drainage of infected leg stump post amputation. It is infected with MRSA, he is on vancomycin , apyrexial , WCC 6. He has decompensated heart failure and is on diuretics and intermittent cpap for his pulmonary oedema.
I am concerned about the risk of spinal cord infection with mrsa, but feel it is still safer to spinal him, than give a GA to his decompensated heart.