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Comparison of Hemodynamic Effects between Unilateral Spinal Anaesthesia and Conventional Spinal Anaesthesia in Elderly for Trauma Hip

Compare, for traumatic hip surgery for elderly over 70years, unilateral spinal anesthesia (USA) and conventional spinal anesthesia (SA) in terms of hemodynamic consequences. Prospective randomized single blind study. 70 patients aged over 70 years, whatever the ASA score, trauma proposed for hip surgery were randomized into 2 groups SA and USA. Spinal anesthesia was performed with 7.5 mg of bupivacaine 0.5% hypobaric and fentanyl 25?g. Patients were kept in lateral decubitus for 15 min (USA) and immediately turned supine (SA). Hemodynamic parameters and characteristics of sensory block and motor block were collected. In results both groups were comparable regarding surgical and demographic characteristics. The hemodynamic consequences were significantly lower in the USA group. The onset times of maximum sensory block on the operated side were comparable between the two groups. The regression time of sensory block on the side operated two metameres was faster in the RA group compared to the USA group with a significant difference (p = 0.06). A bi lateralization was observed in 68% of cases. In concusion USA compared to the SA for traumatic hip surgery in elderly patients over 70 years, can offer better hemodynamic stability and provides the operated side sensory block of longer duration.

Auteur(s) : Fall ML, Leye PA, Bah MD, Ndiaye PI, Barboza D, Traore M, Hilal G, Moulaye C, Diouf E.
Pages : 536-539
Année de publication : 2016
Revue : Scholars Journal of Applied Medical Sciences (SJAMS)
N° de volume : 4(2C):
Type : Article
Mise en ligne par : FALL Mohamed Lamine