| Autor: |
Singh, Nitish, Varshney, Rohit Kumar, Prasad, Mukesh Kumar, Ahluwalia, Pallavi, Jain, Payal, Alam, MD Shahabaz |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 5, p1591-1598, 8p |
| Abstrakt: |
Background: Spinal anaesthesia is the most common neuraxial regional block used in surgical procedures providing favourable conditions for lower abdominal surgeries like inguinal hernia repair. The aim of the study is to compare effectiveness of high versus low doses of intrathecal hyperbaric bupivacaine given at different time intervals for inguinal hernia surgeries. Material and Methods: The study was carried out on 90 patients which were randomized in 3 groups of 30 patients each. Group H1 received 10 mg of 0.5% bupivacaine heavy in 2 ml volume intrathecally in sitting position and remained in this position for 1 minute before turning them to supine. Group H2 received similar doses of heavy bupivacaine as H1 but remained in this position for 2 minutes before turning them to supine. Group L0 was given 5 mg of 0.5% bupivacaine heavy diluted to 2 ml volume intrathecally in sitting position and made to lie supine immediately. Onset and duration of sensory and motor block together with haemodynamic parameters and any associated complications/side effects were assessed. Results: On comparing the heart rate between Group L0 and Group H1/H2 statistically significant difference was observed from 5 to 30 minutes (p<0.05). Similar results were obtained while comparing systolic blood pressure between Group L0 and Group H1/H2 from 5 to 30 minutes (p<0.05). However, no significant results were observed on comparing Group H1 and H2 for heart rate and systolic blood pressure at any time interval. Intergroup comparison of Group L0, H1 and H2 revealed statistically significant results in onset/duration of sensory/motor block (p<0.05). Conclusion: The present study revealed that at 1 & 2 minutes sitting position after injecting hyperbaric bupivacaine intrathecally 10 mg in inguinal hernia surgeries results in more haemodynamic stability compared with immediately lying down. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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