Role of patient posture during puncture on successful unilateral spinal anaesthesia in outpatient lower abdominal surgery

European Journal of Anaesthesiology
M Al MalyanS Boncinelli

Abstract

Unilateral spinal anaesthesia is a useful anaesthesia technique in lower abdominal surgery, especially in an outpatient setting. Patient posture is pivotal in the achievement of unilateral anaesthesia. Nevertheless, no studies have elucidated the influence of patient posture during the anaesthetic injection on unilaterality. Thus, the aim was to compare the effect of patient posture, during the induction phase of spinal anaesthesia, on block characteristics. Eighty patients, ASA I-II, scheduled for unilateral hernioplasty were randomized into two groups. Anaesthesia was performed in lateral position in Group 1 (G1) with operative side down and in sitting position in Group 2 (G2) whose patients were then immediately turned on their lateral side. All patients were maintained for 20 min in lateral position with their operative side down. Hyperbaric bupivacaine 1% 10 mg were used. Unilateral anaesthesia was seen in 80% (32/40) and 12.5% (5/40) of G1 and G2, respectively. The readiness for surgery was faster in G1 (P < 0.0001). The motor block in the non-operative side was stronger in G2 (P < 0.0001). The offset of sensory block was faster in G1 (P = 0.0001). The offset of motor block was slower in G1 (P = 0.0008). The time for void...Continue Reading

References

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Citations

Jul 3, 2013·Internal Medicine·Takatoshi KitazawaHiroshi Yotsuyanagi
Jun 9, 2014·Brazilian Journal of Anesthesiology·Seyyed Mostafa Moosavi Tekye, Mohammad Alipour
Sep 21, 2010·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Ozgur GunebakmazIbrahim Ozdogru
Nov 1, 2011·Tropical Doctor·Anthony C Mgbakor, Bruno E Adou
Jul 29, 2015·Biomedit︠s︡inskai︠a︡ khimii︠a︡·N N SokolovA I Archakov

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