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

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 e...

Full description

Saved in:
Bibliographic Details
Published in:Saudi journal of anaesthesia 2013-10, Vol.7 (4), p.404-409
Main Authors: Kilinc, Leyla, Sivrikaya, G, Eksioglu, Birsen, Hanci, Ayse, Dobrucali, Hale
Format: Article
Language:English
Subjects:
Aged patients
Anesthesia
Bone surgery
Catheters
Comparative analysis
continous
elderly
Heart rate
Original
Postoperative period
spinal
Statistical analysis
Studies
Surgery
unilateral
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1658-354X
0975-3125
DOI:10.4103/1658-354X.121054