Article Type
Original Study
Abstract
Background and Objectives: combined spinal epkjural anaesthesia is a suitable anaesthetic technique for pelvic surgery. The effects of baricity of spinal local anaesthetics have been studied during spinal anaesthesia. Yet, there is a need to study these effects during combined spinal epidural anaesthesia. We aimed to compare block characteristics, haemodynam-ics, analgesia and side effects of epidural/ hyperbaric bupivacaine-tentanyl spinal anaesthesia and epidural/ plain bupivacaine- fentanyl spinal anaesthesia. Methods: 50 patients subjected to pelvic urokigic procedures were randomly allocated to receive either spinal hyperbaric bupivacaine- fentanyl (n=25) or spinal plain bupivacaine-fentanyl (n=25). Both groups received epidural bupivacaine 0.25% via epidural catheter at upper interspace. Heart rate, mean arterial blood pressure, motor block score, sensory level/ regression, drug supplementation and side effects were recorded. Results : the plain bupivacaine group snowed delayed regression of sensory block in 4 (16%) of patients. Patients in the plain group needed more vasoacative drugs than the hyperbaric group (36% and 12% respectively). Otherwise, there were no striking differences in haemodynamics, block characteristics or the side effects between plain and hyperbaric groups. Both techniques produced comparable analgesia.
Recommended Citation
Shorrab, Ahmed; Demian, Atef; and El-Monem, Refaat
(2002)
"EFFECTS OF EPIDURAL INJECTIONS OF 0.25% BUPIVACAINE ON SPINAL ANAESTHESIA WITH 0.5% PLAIN OR HYPERBARIC BUPIVACAINE- FENTANYL,"
Mansoura Medical Journal: Vol. 31
:
Iss.
2
, Article 14.
Available at:
https://doi.org/10.21608/mjmu.2002.134003
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
