Cover Image

EFFECT OF WAITING TIME IN THE SPINAL FIXATION IN A SADDLE BLOCK

LENIN PICHA I

Abstract


Abstract : For many of the surgeries performed in the
perineal region, the spinal blockade achieved is higher than
what we need. In order to avoid this, saddle block is
performed. Patient asked to sit while giving spinal
anaesthesia and sitting position is maintained for variable
period. The waiting time for this 60 patients aged 23-65 yrs
belonging to ASA I and II status undergoing perineal
surgeries. Patients were randomly allotted into three groups.
Patient were asked to Wait for 5mins,10 mins and 20 mins
respectively.The level of blockade and fall in blood pressure
were recorded. Results The results of the study were that
waiting time doesnt influence the spread of spinal
anaesthesia and true saddle block is not produced by
increasing the waiting time even upto 20 mins.
Keyword :saddle block,hyperbaric bupivacaine, anaesthesia,
fixing time


Full Text:

PDF

References


M. Tuominen, E. Kalso, and P. H. Rosenberg, “Effects of

posture on the spread of spinalanaesthesia with

isobaric0.75% or 0.5% bupivacaine,” British Journal of

Anaesthesia,vol. 54, no. 3,pp. 313–318, 1982.

E. Kalso, M. Tuominen, and P. H. Rosenberg, “Effect

ofposture and some c.s.f. characteristics onspinal

anaesthesiawith isobaric 0.5% bupivacaine,” British Journal

of Anaesthesia,vol. 54, no. 11, pp.1179–1184, 1982.

R. W. D. Mitchell, G. M. R. Bowler, D. B. Scott, and H.

H.Edstrom, “Effects of posture and baricityonspinal

anaesthesiawith 0.5% bupivacaine 5ml. A double-blind

study,” British Journal of Anaesthesia, vol. 61, no. 2,

pp. 139–143, 1988.

G. A. McLeod, “Density of spinal anaesthetic solutionsof

bupivacaine, levobupivacaine, andropivacaine with and

without dextrose,” British Journal of Anaesthesia, vol. 92,

no. 4, pp. 547–551,2004.

M. G. Richardson and R. N. Wissler, “Density of lumbar

cerebrospinal fluid in pregnant andnonpregnant humans,”

Anesthesiology, vol. 85, no. 2, pp. 326–330, 1996.

T. T. Horlocker and D. J.Wedel, “Density, specific gravity,

and baricity of spinal anestheticsolutions at body temperature,”

Anesthesia and Analgesia, vol. 76, no. 5, pp. 1015–

, 1993.

W. Aveling, “Heavy bupivacaine has no advantage over

plain bupivacaine in spinal anaesthesiafor Caesarean section,

” International Journal of Obstetric Anesthesia, vol. 8,

no. 4, pp. 260–265,1999.

I. F. Russell, “Spinal anesthesia for cesarean delivery

with dilute solutions of plain bupivacaine:the relationship

between infused volume and spread,” Regional Anesthesia,

vol. 16, no. 3, pp.130–136, 1991.

L. Niemi, M. Tuominen, M. Pitk¨anen, and P. H.

Rosenberg, “Effect of late posture change on thelevel of

spinal anaesthesia with plain bupivacaine,” British Journal of

Anaesthesia, vol. 71, no. 6, pp.807–809, 1993.

Max time(mins) Average time(mins)

Group 1 8 6

Group 2 14 12

Group 3 21 19

Average % fall in

BP

P value

Group 1 8.6 O.0651

Group 2 10.9 O.0651

Group 3 15 O.0651

An Initiative of The Tamil Nadu Dr. M.G.R. Medical University

University Journal of Medicine and Medical Specialities

O. Vicent, R. J. Litz, M. H¨ubler, and T. Koch, “Secondary cranial

extension after spinalanesthesia with isobaric 0.5%

bupivacaine following postural change,” Anaesthesist, vol. 52] no.

,pp. 1035–1038, 2003.

N. P. Ekeløf, E. Jensen, J. Poulsen, and P. Reinstrup, “Weight

gain during pregnancy does notinfluence the spread of spinal

analgesia in the term parturient,” Acta Anaesthesiologica

Scandinavica, vol. 41, no. 7, pp. 884–887, 1997.

S. P.Hallworth, R. Fernando,M.O. Columb, and G.M. Stocks,

“The effect of posture and baricityon the spread of intrathecal

bupivacaine for elective cesarean delivery,” Anesthesia and

Analgesia,vol. 100, no. 4, pp. 1159–1165, 2005.

A. C. P. Lui, T. Z. Polis, and N. J. Cicutti, “M. G. Richardson

and R. N. Wissler, “Density oflumbarcerebrospinal fluid in pregnant

and nonpregnant humans,”Anesthesiology, vol. 85, no. 2,

pp.326–330, 1996.

H. M. R. Povey, J. Jacobsen, and J. Westergaard-Nielsen,

“Subarachnoid analgesia withhyperbaric 0.5% bupivacaine:

effect of a 60-min period of sitting,” Acta Anaesthesiologica

Scandinavica, vol. 33, no. 4, pp. 295–297, 1989.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An initiative of The Tamil Nadu Dr M.G.R. Medical University