Unilateral spinal anaesthesia: An alternative and effective approach in infra-umbilical surgeries in geriatric population
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 3
Abstract
Background: Spinal anaesthesia is simple, easy to administered and reliable cost-effective technique that has been widely used for infra-umbilical surgery. For day care surgical treatment of infra-umbilical origin on one, unilateral spinal block procedure is thought to have more advantages over conventional spinal anaesthesia in producing extreme longer lasting block in the operative limb, the lower incidence of hypotension and maintenance of cardiovascular stability. Unilateral anaesthesia is a specific regional anaesthesiology technique. It was first described by Tanasichuk et al. in 1961 as ‘spinal hemianalgesia’. Materials and Methodology: Source of Data Patients scheduled for infra-umbilical surgery in, Rural Hospital, Chiplun, was selected for the study over a period of one year from December 2016 to December 2017. Type of Study Prospective randomised observational study. Selection of Patient Convenience type of non-probability sampling was used for selection of study subjects. A total of 208 patients posted for infra-umbilical surgeries in Rural Hospital, Chiplun, were included in the study. Result: Results were formulated based on demographic data, characteristic of block, heart rate, systolic blood pressure and diastolic blood pressure changes. Conclusion: Considering the problems related to geriatric age group they are more prone to cardiovascular instability following spinal anaesthesia and they cannot tolerate it due to poor compliance. Unilateral spinal anaesthesia with Bupivacaine 5 mg was better in terms of hemodynamic stability as compared to Bilateral spinal anaesthesia with Bupivacaine 7.5 mg.
Authors and Affiliations
Varsha Vijay Reelkar, Avinash B Pawar
Keywords
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