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

Related Articles

Comparison of low volume high concentration of local anesthetic with high volume low concentration local anesthetic for supraclavicular block

Regional anesthesia in form of brachial plexus block is a common and reliable mode of anesthesia for upper limb blocks. By virtue of anatomy of brachial plexus supraclavicular approach for brachial plexus is one of favou...

A Comparativestudy of 0.25% bupivacaine and 0.25% ropivacaine in transversusabdominis plane block for post-operative analgesia patient undergoing below umblical surgery

Background:The transversusabdominis plane (TAP) blockinvolves the injection of a local anesthetic solution into a plane between the internal oblique muscle and transversusabdominis muscle.Aim: In this study we have aimed...

Comparison of laryngeal mask airway Proseal and I-gel in patients posted for elective surgeries under general anaesthesia

Background: In spite of tremendous advances in contemporary anesthesia practice, airway management continues to be of paramount importance to the anesthesiologist. Hemodynamic changes are the major undesirable consequenc...

Comparison of post-operative analgesic efficacy of bupivacaine and ropivacaine using ultrasound guided oblique subcostal transverse abdominis plane block in open cholecystectomy under general anaesthesia

Background: Cholecystectomy involves upper abdominal incision with considerable postoperative pain. Adequate postoperative analgesia has to be provided to prevent major pulmonary complications in the postoperative period...

Effect of two different doses of Dexmedetomidine on hemodynamic responses during tracheal extubation

Background: Haemodynamic responses to tracheal extubation have always been of importance to the anaesthesiologist.Different concentrations of dexmedetomidine ranging from 0.25 µg/kg to 1.0 µg/kg intravenously as a bolus,...

Download PDF file
  • EP ID EP521186
  • DOI 10.26611/1015936
  • Views 179
  • Downloads 0

How To Cite

Varsha Vijay Reelkar, Avinash B Pawar (2019). Unilateral spinal anaesthesia: An alternative and effective approach in infra-umbilical surgeries in geriatric population. Medpulse International Journal of Anesthesiology, 9(3), 182-186. https://europub.co.uk/articles/-A-521186