COMBINED LUMBAR-SACRAL PLEXUS BLOCK- BOON FOR GERIATRIC PATIENTS

Dr. NIPA C. NAYAK; Dr. PRASHANT C. SORATHIYA; Dr. JAYDEV K. DAVE; Dr. VANITA DABHI

Volume : X, Issue : IV, April - 2020

COMBINED LUMBAR-SACRAL PLEXUS BLOCK- BOON FOR GERIATRIC PATIENTS

Dr. Nipa C. Nayak, Dr. Prashant C. Sorathiya, Dr. Jaydev K. Dave, Dr. Vanita Dabhi

Abstract :

Objective: To compare intraoperative hemodynamic stability and postoperative pain relief. Materials and Methods: Randomized controlled prospective study done on 200 pts. of either sex of ASA grade 3 and 4 posted for lower limb surgery. Group A received lumbar– sacral plexus block via PNS, Injection of 0.5% Bupivacaine plain (10 ml) with inj. Lignocaine 2% plain(10 ml) diluted with 0.9% normal saline 10 ml, total volume 30 ml, out of which 25 ml given at lumbar plexus and same dilution 20 ml given in sacral plexus and group B received spinal anaesthesia with 0.5% bupivacaine heavy. Statistical Analysis Used: Unpaired T test, Mann Witney U test Results: In our study intraoperative incidence of hypotension and adycardia was found higher in group B than group A. In postoperative period VAS score difference between two groups was found is statistically significant in group A as compared to group B till 72 hours postoperative. Conclusion: Combined lumbar–sacral plexus block is effective method for unilateral lower limb surgery and postoperative analgesia in high risk geriatric patients.