A Prospective Study of Combined Spinal And Epidural Anaesthesia For Hip And Major Lower Limb Surgeries In Elderly Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
INTRODUCTION: The combined spinal epidural technique involves intentional subarachnoid blockade and epidural catheter placement during the same procedure. Ideally it combines the best features of spinal and epidural blockade and avoids their respective disadvantages. With the combined spinal epidural techniques, surgical anaesthesia was rapidly established saving 15 to 20 minutes, compared with epidural anaesthesia. AIMS & OBJECTIVES: 1. To evaluate the safety and efficacy of combined spinal-epidural anaesthesia in lower limb surgeries 2. To find the regional anaesthetic technique that provides adequate surgical anaesthesia and analgesia with minimal side effects. RESULTS: The onset of analgesia was 3.4±1.0 min. The epidural dose caused further ascent of sensory analgesia by three to four segments with an average of 2.6 ± 0.9 segments. The time taken for the onset of the motor blockade was 5.8 ± 1.1 min. The time taken for the complete recovery from the C.S.E. was 291.3 ± 29.9 min. CONCLUSION: Combined spinal-epidural technique provides an opportunity to utilize the major advantages of spinal and epidural anaesthesia. C.S.E. produces a multi compartment block, such that behavior of the spinal block may be modified by subsequent epidural injections. C.S.E. has been incorporated into the armamentarium of regional anaesthetic technique; it may be the optimum regional technique for lower limb orthopedic procedures.
Authors and Affiliations
Dr. N. Syama Kumar, Assistant Professor, Dr. K. Nagabhushanam, Nagabhushanam Professor, Dr. S. Seetharamaiah, Professor Hod, Dr. B. Venu Gopalan
Keywords
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- EP ID EP370223
- DOI 10.9790/0853-1703173141.
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