Comparison of hemodynamic stability of combined spinal anesthesia with low dose spinal anesthesia and epidural volume extension by saline as compared to epidural anaesthesia for patients undergoing elective lower limb surgery

Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 5, Issue 3

Abstract

Administration of saline in epidural space following intrathecal drug administration constitutes Epidural Volume Extension. In our study we involved 40 patients who were planned to undergo elective lower limb surgery, who were randomized into two groups of 20 each. 20 patients in Group EV received low dose of spinal anesthesia with epidural volume extension by saline, and 20 patients in Group E received conventional epidural anesthesia. From our study it was seen that the patients in Group EV had quicker onset of sensory block, and stable hemodynamic parameters as compared to patients in Group E.

Authors and Affiliations

Sri Devi S, Sanjeev G M

Keywords

Related Articles

Study of sociodemographic characteristics associated with patients of scrub typhus

Background: Rickettsial diseases are some of the most covert re-emerging infection of the present times Aims and Objectives: To Study sociodemographic characteristics associated with patients of scrub typhus. Methodology...

Efficacy of adding intrathecal magnesium sulphate for lower limb surgeries in supine position under subarachnoid block with bupivacaine: A prospective randomized double-blind clinical trial

Background and objectives: Magnesium has antinociceptive effects in animal and human models of pain. In 1906, Haubold and Meltzer showed that intrathecal administration of Magnesium Sulphate produces spinal anaesthesia t...

The efficacy of 0.75% ropivacaine by epidural neuroaxial blockade for lower abdominal surgeries

The feasibility of injecting a local anaesthetic by the epidural route was first demonstrated by the French Urologist Cathelin in 1901. However, for many years caudal rather than lumber epidural blockade was the preferre...

A comparative study of haemodynamic parameters using Etomidate and Ketofol as induction agents

Background: Etomidate is routinely used for intravenous induction where haemodynamic stability is essential. Ketofol, an ad-mixture of Propofol and Ketamine, which also has a stable haemodynamic profile, is recently bein...

Incidence of complications after prophylactic phenylephrine and placebo in elective urological surgeries

Background: Spinal anesthesia is commonly practiced neuraxial anesthesia for various surgeries including gynecological, obstetrics, urological, orthopedics, etc. The most common impediments to the effective use of neurax...

Download PDF file
  • EP ID EP365454
  • DOI -
  • Views 190
  • Downloads 0

How To Cite

Sri Devi S, Sanjeev G M (2018). Comparison of hemodynamic stability of combined spinal anesthesia with low dose spinal anesthesia and epidural volume extension by saline as compared to epidural anaesthesia for patients undergoing elective lower limb surgery. Medpulse International Journal of Anesthesiology, 5(3), 75-78. https://europub.co.uk./articles/-A-365454