What is it about?
Induction of Spinal Anaesthesia with 0.5% Hyperbaric Bupivacaine in Orthopedic Procedures
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Why is it important?
Context: Spinal anesthesia is considered safe over general anesthesia but has some side effects. To overcome its side effects, it can be given in sitting position and after two minutes patient can be kept in supine position. Aims: To compare the effect of positioning after induction of spinal anesthesia in orthopedic procedures. Settings and design: A Randomized controlled prospective double blind study was undertaken at Shadan Institute of Medical Sciences. Methods and material: 50 patients were divided into two groups of 25 each; group L and group S. Both the group patients were ASA 1 and 2 patients aged between 20 to 40 years, posted for lower limb orthopedic surgery. Group L patients were made supine immediately while group S patients were made supine after two minutes of giving anesthesia. Statistical analysis: Student’s t test was applied to compare the mean values. P value less than 0.05 was taken as statistically significant. Results: Both the groups were comparable in baseline characteristics like age, weight, MAP, SBP, DBP. The vasopressor requirement, lowest SBP and DBP were similar in two groups. Group L patients required more fluids, they had more mean fall of SBP, mean heart rate was more and lowest MAP was more compared to group S patients. These differences were statistically significant (p < 0.05). Conclusion: A 2 minute sitting post spinal anesthesia is a safe, reliable alternative for anesthetic management of orthopedic lower limb fracture surgeries.
Perspectives
Context: Spinal anesthesia is considered safe over general anesthesia but has some side effects. To overcome its side effects, it can be given in sitting position and after two minutes patient can be kept in supine position. Aims: To compare the effect of positioning after induction of spinal anesthesia in orthopedic procedures. Settings and design: A Randomized controlled prospective double blind study was undertaken at Shadan Institute of Medical Sciences. Methods and material: 50 patients were divided into two groups of 25 each; group L and group S. Both the group patients were ASA 1 and 2 patients aged between 20 to 40 years, posted for lower limb orthopedic surgery. Group L patients were made supine immediately while group S patients were made supine after two minutes of giving anesthesia. Statistical analysis: Student’s t test was applied to compare the mean values. P value less than 0.05 was taken as statistically significant. Results: Both the groups were comparable in baseline characteristics like age, weight, MAP, SBP, DBP. The vasopressor requirement, lowest SBP and DBP were similar in two groups. Group L patients required more fluids, they had more mean fall of SBP, mean heart rate was more and lowest MAP was more compared to group S patients. These differences were statistically significant (p < 0.05). Conclusion: A 2 minute sitting post spinal anesthesia is a safe, reliable alternative for anesthetic management of orthopedic lower limb fracture surgeries.
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This page is a summary of: Effect of Positioning after Induction of Spinal Anaesthesia with 0.5% Hyperbaric Bupivacaine in Orthopedic Procedures, Indian Journal of Anaesthesia and Analgesia, January 2018, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.51218.20.
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