Saddle block spinal anesthesia and its effect on hemodynamic status and analgesia
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 2
Abstract
Introduction The sitting position is often used for patients undergoing spinal anesthesia especially when lower lumbar and sacral levels of sensory anesthesia are required An advantage of this position is that the complications associated with it can be reduced The present study assess the relation between saddle block anesthesia and the duration spent in sitting postureMaterials and Methods Sixty ASA I and II patients were included in this study In this randomized controlled study patients planned to undergo perineal procedures were selected Spinal anesthesia was given with 22 ml of 05 hyperbaric bupivacaine and the patients were made to sit for one six twelve and twenty minutes before making them supine for the procedure The data were analyzed using students t test and Chi Square test Results Better hemodynamic stability was achieved by increasing the duration of sitting posture after spinal anesthesia Also duration of motor sensory blockade was decreased by increasing the duration of sitting positionConclusion The study shows that the duration of sitting position is inversely related to the duration and extent of sensory and motor blockade Also better hemodynamic stability can be achieved with saddle block anesthesiaKeywords Spinal anesthesia Sympathetic blockade Hyperbaric bupivacaine Cerebrospinal fluid
Authors and Affiliations
Neeta S. , Sunil B. V. , Sonal Bhat, Shaila Kamath, Madhusudan U.
Keywords
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- EP ID EP476474
- DOI 10.18231/2394-4994.2018.0049
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