Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
Tapas Kumar Singh
Department of Anesthesiology, Sarojini Naidu Medical College, Agra, Uttar Pradesh 282002,
India
Research Article
Unilateral Spinal Anaesthesia for Lower Limb Orthopaedic Surgery Using Low Dose Bupivacaine with Fentanyl or Clonidine: A Randomised Control
Study
Author(s): Tapas Kumar Singh, Anabarsan A, Uma Srivastava, Ashish Kannaujia, Amrita Gupta, Chandra Prakash Pal, Vivek Badada and Vidhi ChandraTapas Kumar Singh, Anabarsan A, Uma Srivastava, Ashish Kannaujia, Amrita Gupta, Chandra Prakash Pal, Vivek Badada and Vidhi Chandra
Background and objective: Providing a spinal block with preferential distribution to operative side is a useful technique. This study aimed to determine the incidence and suitability of unilateral spinal block, hypotension and recovery profile by 7.5 mg of 0.5% hyperbaric bupivacaine alone or with fentanyl/clonidine for knee or below knee orthopaedic surgery of moderate duration. Methods: 120 patients undergoing orthopaedic surgery of lower limb received 7.5 mg of 0.5% hyperbaric bupivacaine intrathecally with 25 μg of fentanyl (Group BF), 25 Regularg of clonidine (Group BC) or 0.5 ml of saline (Group BS). Block characteristics, unilaterality, haemodynamic changes and recovery profile was noted. Results: Unilateral block was seen in more than 70% of patients in all the groups (p=0.057). Time of regression of sensory block to L2 level (133 ± 18, 187 ± 19, 182 &plusm.. View More»
DOI:
10.4172/2155-6148.1000484