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Indian Journal of Clinical Anaesthesia


Comparison of sequential combined spinal epidural anaesthesia and spinal anaesthesia in lower limb surgery: A prospective randomised double blind study


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Author Details: Santpur Madhavi*,Shah Akif Mutahar,Santpur Unmesh,Kanchan Swati,Agarwal Somika

Volume : 6

Issue : 1

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 66

Article End Page : 70


Abstract

Introduction: Spinal anaesthesia is a popular anaesthesia technique for lower limb surgeries. The haemodynamic changes that occur, may be sudden and deleterious, particularly in geriatric patients. Moreover the duration of spinal anaesthesia is limited. Thus, a safer approach of sequential combined spinal epidural (SCSE) anaesthesia is emerging currently. The technique combines benefits of both.
Aim: To evaluate the changes in hemodynamic parameters while using SCSE block and spinal anaesthesia for lower limb surgeries.
Study Design: A prospective, randomised, double blind study.
Materials and Methods: Sixty ASA grade I and II physical status, who underwent lower limb procedures were included in the study. They were divided equally into Group I (spinal) and Group II (SCSE). The haemodynamic parameters in the two groups was observed.
Results: From 2 minutes to 20 minutes, there was statistically significant rise in pulse rate in group I, associated with decrease in blood pressure in group I (p value<0>
Conclusion: Sequential combined spinal epiduralblock maintains hemodynamic stability with minimal complications as compared to spinal anaesthesia.

Key messages: Sequential spinal epidural anaesthesia maintains cardiovascular stability.

Keywords: Sequential spinal epidural, Spinal, Haemodynamics, Side effects.

Doi :-https://doi.org/10.18231/2394-4994.2019.0013