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Research Paper | Anaesthesiology | India | Volume 13 Issue 10, October 2024 | Popularity: 5.6 / 10
A Comparative Study Evaluating the Effectiveness of Epidural Volume Expansion with Normal Saline in Combined Spinal Epidural Anesthesia for Infraumbilical Surgeries using Low-Dose Intrathecal Hyperbaric Bupivacaine
Dr. Anusree E. V., Dr. Priyadarshini. M. B., Dr. Rajendrakumar K. S., Dr. Adarsh S. R., Dr. Jyothi Veerappa Angadaki, Dr. Samiksha Agarwal
Abstract: Background: Combined spinal epidural anesthesia (CSEA) is frequently utilized for infraumbilical surgeries due to its rapid onset and prolonged postoperative pain relief, often enhanced by epidural volume expansion (EVE) with normal saline. Aim: To evaluate the effectiveness of epidural volume expansion with normal saline in combined spinal epidural anaesthesia for infra umbilical surgeries Materials and Methods: A prospective randomized comparative study involving 70 ASA grade I and II patients aged 18-59 undergoing elective infraumbilical surgeries, participants were divided into two groups: Group I (CSEA with EVE) and Group II (CSEA without EVE). Key parameters assessed included the onset and duration of sensory and motor blockade, hemodynamic stability, and adverse effects. Result: Group I experienced a significantly faster onset of sensory block at the T10 level and a quicker time to maximum motor blockade, along with a longer duration of sensory blockade and analgesia. Both groups maintained stable hemodynamic parameters with no significant differences or severe adverse effects reported. Conclusion: EVE with normal saline in CSEA enhances both the onset and duration of sensory and motor blockade while ensuring hemodynamic stability, making it a safe and effective technique for infraumbilical surgeries.
Keywords: Combined spinal epidural anesthesia, Epidural volume expansion, Infraumbilical surgeries, Low-dose hyperbaric bupivacaine, Hemodynamic stability
Edition: Volume 13 Issue 10, October 2024
Pages: 592 - 597
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