Case 6 Questions

Click on the correct answer.

Click on the correct answer.
  • A 45 year-old man was admitted to the same day surgery for repair of a direct inguinal hernia. A spinal anesthetic was administered, which was of sufficient level and duration to encompass the analgesic requirement for surgery.
  •  After the spinal was given and surgery started, the anesthetist asked the patient if he wished to be sedated.
  •  At first he refused, but as the procedure progressed he began to feel visceral traction as the hernia sac was opened.
  •  There was no somatic pain, but the abdominal irritation led the patient to ask for a sleep-producing medication.

 

  • case author: Hugh S. Mathewson, M.D., Professor Emeritus, School of Allied Health, Department of Nurse Anesthesia, University of Kansas Medical Center
    case editor: Michael Gordon, Ph.D.