The clinical effects of combined spinal –epidural anaesthesia versus spinal anaesthesia in patients undergoing major orthopaedic surgery

Dr. Dipika Patel; Dr.Kalpanaben Desai

Volume : VII, Issue : VI, June - 2017

The clinical effects of combined spinal –epidural anaesthesia versus spinal anaesthesia in patients undergoing major orthopaedic surgery

Dr. Dipika Patel, Dr. Kalpanaben Desai

Abstract :

The sequential combined spinal epidural Anaesthesia(CSEA) is now being used in elderly high risk patients for orthopaedic and gynecological surgeries with encouraging results. This present study was carried out to compare the clinical effects of combined spinal epidural anaesthesia versus spinal anaesthesia in 60 patients undergoing major orthopaedic surgery. Group A(n=30) received 1ml(0.5%) of hyperbaric Bupivacaine plus 25 µgm fentanyl for spinal block and 2ml of 0.5% plain Bupivacaine for every unblocked segment through epidural catheter(CSE anaesthesia). Group B received spinal anaesthesia with 2 ml(10 mg) of 0.5% hyperbaric Bupivacaine plus 25 µgm fentanyl. Onset and level of sensory block, degree of motor block, duration of surgery and analgesia, total dose of epidural Bupivacaine required to establish desired level of block and to prolong block and various side effects were recorded.