Cardiovascular effects of two different regional anaesthetic techniques for unilateral leg surgery

Acta Anaesthesiologica Scandinavica
G FanelliG Torri

Abstract

Cardiovascular function was assessed in 20 ASA I-II patients, scheduled for elective orthopaedic surgery with tourniquet in order to compare the haemodynamic changes induced by unilateral spinal anaesthesia and combined sciatico-femoral nerve block. After baseline measurement of cardiovascular parameters, patients were randomized to receive unilateral spinal anaesthesia or combined sciatico-femoral nerve block. Spinal anaesthesia was obtained by 8 mg of hyperbaric bupivacaine 0.5% slowly injected (speed=0.02 ml s[-1]) through a 25-G Whitacre spinal needle with the bevel orientated towards the dependent side and patients lying on their operated side for 15 min (group S, n=10). Combined sciatico-femoral nerve block was obtained by 7 mg kg(-1) of mepivacaine 2% (group NB, n=10). Haemodynamic variables were recorded 5, 10, 15, and 30 min after anaesthetic injection before surgery was started. Anthropometric data, duration of surgery and acceptability of anaesthetic techniques were similar in the 2 groups. In 8 patients of group S, spinal block was restricted to the operated side (pinprick test and Bromage scale), while the other 2 patients developed bilateral spinal block after being turned supine. NB patients showed no haemodynami...Continue Reading

References

Apr 1, 1988·Scandinavian Journal of Dental Research·C E ChristerssonR E Baier
Jun 1, 1993·British Journal of Anaesthesia·A F McCrae, J A Wildsmith
Feb 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·A CappellinoP A Ruwe
Jun 1, 1997·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A CasatiG Torri

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Citations

Nov 18, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A CasatiG Torri
Jan 17, 2004·Regional Anesthesia and Pain Medicine·Andrea Casati, Guido Fanelli
Jun 19, 2012·Regional Anesthesia and Pain Medicine·Finn BærentzenJens Børglum
Dec 18, 2007·Journal of Clinical Anesthesia·Abdulkadir AtimErdal Guzeldemir
Feb 1, 2012·Anesthesiology Research and Practice·Saffet KaracaOmer Uysal
Oct 26, 2016·Der Anaesthesist·B BüttnerI Bergmann
Dec 22, 1999·Anesthesiology·J E Chelly, L Delaunay
Dec 3, 2017·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Hou Yee LaiChew Yin Wang
Apr 28, 2007·European Journal of Anaesthesiology·C S MeyhoffL S Rasmussen
Dec 16, 2010·Anesthesia and Analgesia·Marcel A de LeeuwRoberto S G M Perez
Oct 4, 2006·Current Opinion in Anaesthesiology·J Ballantyne
Oct 3, 2006·Current Opinion in Anaesthesiology·D Enk
Oct 19, 2014·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Defeng SunLijie Wang
Sep 4, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Utku Kandemir, Charles J Cogan

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