A COMPARATIVE STUDY OF COMBINED SPINAL EPIDURAL ANAESTHESIA VERSUS EPIDURAL ANAESTHESIA FOR ELECTIVE CAESAREAN SECTION
Journal Title: IJAR-Indian Journal of Applied Research - Year 2018, Vol 8, Issue 4
Abstract
Background and aims This study was done to compare the efficacy of combined spinal epidural(CSEA) anaesthesia with epidural anaesthesia based on the parameters such as onset time,quality of intraoperative analgesia, quality of motor blockade,incidence of hypotension and total local anaesthetic dose requirement Materials and methods- 50 patients undergoing elective LSCS were divided into two groups of 25 each .One group received combined spinal epidural anaesthesia (CSE). The other group received epidural anaesthesia.The combined spinal epidural (CSE) group received 1 ml of 0.5% hyperbaric bupivacaine intrathecally followed by 10 ml of 0.5% plain bupivacaine with adrenaline 5mcg/ml (1 in 2,00,000) epidurally. The epidural group patients received 16 ml of 0.5% plain bupivacaine with adrenaline epidurally. Study parameters were noted. Observation and results In CSE group 72% achieved complete anaesthesia ,while in epidural group only 40% achieved complete anaesthesia which is statistically significant.(p<0.05) Complete motor blockade was achieved in 68% in CSE group and 36% in Epidural group. Incidence of hypotension was similar in both groups. Mean local anaesthetic dose was 55 mg in CSE group compared to 86mg in the epidural group which was statistically significant. Conclusion Combined spinal epidural anaesthesia offers rapid onset of intense neuraxial blockade, better muscle relaxation, better intraoperative analgesia and decrease in the total requirement of local anaesthetic dose when compared with epidural anaesthesia in elective caesarean section.
Authors and Affiliations
Dr. B. Jeyarani
Keywords
Related Articles
- EP ID EP388633
- DOI -
- Views 62
- Downloads 0
STUDY OF ANTIBIOTIC RESISTANCE PATTERN AMONG GRAM POSITIVE ISOLATES OF DIABETIC FOOT ULCER, WITH SPECIAL REFERENCE TO METHICILLIN RESISTANCE AND INDUCIBLE CLINDAMYCIN RESISTANCE
One of the important factors contributing to emergence of resistant strains in diabetic foot ulcers (DFUs) is inappropriate and widespread use of antimicrobials, either by patients themselves or primary care providers. S...
Farm Mechanisation is the Need of the Time: It’s Picking Up in Odisha Led by Youth
Agricultural land area is not increasing, but the demand for food is ever increasing due to population growth. To meet the demand of increasing population for food and for income security increase in crop productivity is...
A COMPARATIVE STUDY OF COMBINED SPINAL EPIDURAL ANAESTHESIA VERSUS EPIDURAL ANAESTHESIA FOR ELECTIVE CAESAREAN SECTION
Background and aims This study was done to compare the efficacy of combined spinal epidural(CSEA) anaesthesia with epidural anaesthesia based on the parameters such as onset time,quality of intraoperative analgesia, qual...
IN VITRO ACTIVITY OF COLISTIN AGAINST MULTIDRUG RESISTANT GRAM NEGATIVE BACILLI (MDR GNB) ISOLATED FROM VARIOUS CLINICAL SPECIMENS
Introduction: Currently colistin is increasingly being used against multidrug resistant gram negative bacteria which include Pseudomonas aeruginosa,,Acinetobacter baumanii, Escherichia coli, Klebsiella pneumoniae & Salmo...
Custom versus Contemporary Reality in Socialite Evening
A close study of the novel Socialite Evening reveals De’s protest against the good and ideal image of woman in the name of tradition or custom. She tries her best to describe here those all attitudes of the society which...