A Study of Recovery Profile After Subarachnoid Block in Elderly Versus Young Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Aim: To compare the recovery profile after subarchnoid block in elderly and young patients and to investigate new discharge criteria to decrease recovery room time without jeopardizing patient safety. Method: After approval from ethical committee 100 patients are divided into two groups, group I (young) consist of age group between 20-40 years and group II (elderly) with age more than 60 years. All these patients preoperative pulse rate and MAP recording done and in recovery room at 0,30, 60 and 90 min pin prick test, toe movement and changes in pulse rate and mean arterial pressure (MAP) 2 minutes following orthostatic challenge and statistical analysis done. Result: When statistical analysis done between two groups mean age in group I was 32.42 +3.44 years and group II was 66.40 +3.91 years and there difference between maximum height of sensory blockade in group I i.e. T 7.82 +1.10 compare to group II patients i.e. T 7.34 +1.17 (p<0.05) which was statistically significant. The mean preoperative pulse rate and MAP in group I was 87.12+7.17 and 90 +5.17 and in group II was 84.92+5.91and 91.2+5.42 respectively, but after orthostatic challenge test the mean pulse rate change was 7.08% at 0 min, 1.99% at 30min, 1.7% at 60min and 0.77% at 90 min in group I and in group II was 9.46% at 0min, 7.09% at 30 min, 5.89% at 60min and 2.73% at 90min. Also mean fall in MAP Less than 10% after orthostatic challenge test. Conclusion: From present study we concluded that in elderly patients level of anaesthesia higher than young patients and recovery of sensory, motor and autonomic function will be slower and new discharge criteria can be safely applied to elderly population and it will save significant time and resources of recovery room without jeopardising patients safety.
Authors and Affiliations
Dr. Virendra Modi, Dr. Dattatraya Gangurde
Keywords
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- EP ID EP576461
- DOI 10.9790/0853-1701060710.
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