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...

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Main Authors: Leyla T Kilinc, G Ulufer Sivrikaya, Birsen Eksioglu, Ayse Hanci, Hale Dobrucali
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=4;spage=404;epage=409;aulast=Kilinc
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author Leyla T Kilinc
G Ulufer Sivrikaya
Birsen Eksioglu
Ayse Hanci
Hale Dobrucali
author_facet Leyla T Kilinc
G Ulufer Sivrikaya
Birsen Eksioglu
Ayse Hanci
Hale Dobrucali
author_sort Leyla T Kilinc
collection DOAJ
description 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.
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spelling doaj.art-2b801134d3024ea985bfcb0f7fb25b082022-12-22T02:06:19ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2013-01-017440440910.4103/1658-354X.121054Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patientsLeyla T KilincG Ulufer SivrikayaBirsen EksiogluAyse HanciHale DobrucaliBackground: 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.http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=4;spage=404;epage=409;aulast=KilincAnesthesiacontinouselderlyspinalunilateral
spellingShingle Leyla T Kilinc
G Ulufer Sivrikaya
Birsen Eksioglu
Ayse Hanci
Hale Dobrucali
Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients
Saudi Journal of Anaesthesia
Anesthesia
continous
elderly
spinal
unilateral
title Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients
title_full Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients
title_fullStr Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients
title_full_unstemmed Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients
title_short Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients
title_sort comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients
topic Anesthesia
continous
elderly
spinal
unilateral
url http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=4;spage=404;epage=409;aulast=Kilinc
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AT birseneksioglu comparisonofunilateralspinalandcontinousspinalanesthesiaforhipsurgeryinelderlypatients
AT aysehanci comparisonofunilateralspinalandcontinousspinalanesthesiaforhipsurgeryinelderlypatients
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