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
Related Articles
- EP ID EP476474
- DOI 10.18231/2394-4994.2018.0049
- Views 87
- Downloads 0
Manufacturing defect in endotracheal tube- An airway challenge
Endotracheal tube is a device commonly used in patients requiring general anaesthesia and mechanical ventilation It becomes very important to ascertain its quality so that patients health is not compromised and he or she...
Efficacy of dexmedetomidine as intrathecal adjuvant in subarachnoid block and postoperative analgesia
Introduction: Various adjuvants have been used intrathecally to improve the quality and duration of the spinal anaesthesia along with better postoperative analgesia We studied the effect of dexmedetomidine as intrathecal...
C-MAC D-blade laryngoscope: A saviour for difficult intubation in lateral position
Video laryngoscopes are the latest addition in an anaesthesiologist’s armamentarium. They are comparable to fiberoptic bronchoscope in terms of ease of visualization of vocal cords especially in awake intubation and in t...
Thoracic epidural block - A sole anasthetic procedure for breast surgeries
Introduction Breast cancer is one of the most common cancers in middle and old aged females Oncological breast surgeries have commonly been performed under General Anaesthesia GA Thoracic Epidural Anaesthesia TEA is a sa...
A prospective randomized study comparing 0.5% isobaric solutions of levobupivacaine and ropivacaine with fentanyl as an adjuvant for subarachnoid block in patients undergoing elective lower limb surgery
In the present study we compared levobupivacaine with ropivacaine in order to determine the suitability of each drug for spinal anaesthesia. Aim: To compare levobupivacaine with ropivacaine with respect to onset, duratio...