comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients

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ID: 216696
2013
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Abstract
Background: Continous spinal anesthesia (CSA) and frequently unilateral spinal anesthesia (USpA) are usually preferred for lower extremity surgeries. In this study, we aimed to compare the effects of these anesthetic techniques, on hemodynamic parameters, quality of anesthesia and complications in elderly patients undergoing hip surgeries. Methods: Forty patients aged 65 years and older, assigned to receive either CSA or USpA with 7.5 mg (1.5 cc) 0.5% hyperbaric bupivacaine initially. In CSA group, additional doses of 2.5 mg bupivacaine were applied until sensory block reach to T 10 . Maximum sensorial block level, time to reach the level of T 10 (defined as onset time) and to regress to T 12 , hemodynamic parameters and ephedrine requirements were recorded peroperatively and during 2 h postoperatively. Results: Hemodynamic parameters, ephedrine requirements and regression of sensory block by two levels were similar in two groups. The onset time of anesthesia was significantly longer in USpA group than CSA group. Neuraxial anesthesia had to be converted to general anesthesia in 5 patients (25%) in CSA group and 1 patient (5%) in USpA group. Conclusions: We conclude that both USpA and CSA techniques have similar effects in elderly high risk patients. On the other hand, USpA is more preferable for surgeries with shorter durations due to its low cost and high success rate.
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kilinc2013saudicomparison Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Leyla T Kilinc;G Ulufer Sivrikaya;Birsen Eksioglu;Ayse Hanci;Hale Dobrucali
Journal bulletin des sociétés chimiques belges
Year 2013
DOI
10.4103/1658-354X.121054
URL
http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=4;spage=404;epage=409;aulast=Kilinc
Keywords
elderly spinal anesthesia unilateralanesthesiology

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