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Corresponding Author

Sherine A Bakrey

Subject Area

Anaesthesia and Surgical Intensive Care

Article Type

Original Study

Abstract

Abstract: Background: Spinal anesthesia (SA) is typically utilized during surgical treatment of severe hip fractures. Searching for early ambulation and reduction of frequency and severity of hypotension, and after adding dexmedetomidine (DEX), different intrathecal (IT) dosages of 0.5% hyperbaric bupivacaine had been used to determine the lowest dosage that will result in a good block without hemodynamic instability. Methods: At random, 78 patients were divided into three groups. A 7.5 mg of 0.5% hyperbaric bupivacaine was administered in the first group10 mg in the second and 12.5 mg in the third group. Dexmedetomidine (5 μg) was added to each group. The length of analgesia wa s the main endpoint, whereas hemodynamic stability and block parameters were secondary outcomes. Results: The third group experienced the longest statistically significant duration of analgesia. In contrast, itrequired the largest doses of ephedrine and had the lowest mean blood pr essure (BP) and heart rate (HR). Conclusion: The present study concluded that IT administration of 10 mg of 0.5% heavy bupivacaine results in good anesthetic coverage, hem dynamic stability, a longer block duration, and less analgesic use.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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