Continuous Spinal Anesthesia And Continuous Epidural Anesthesia

2003 Words9 Pages
Continuous Spinal Anesthesia Versus Continuous Epidural Anesthesia in Elderly High Risk Patients Undergoing Major orthopedic Lower Limb Surgeries Mohamad A. El-feky, Al Sayed M. Stohy, Mostafa M. Sabra, Ali A. Elkomety, Ali A. Mahareak Faculty of Medicine, Al-Azhar University, Cairo, Egypt Abstract Background: Continuous spinal anesthesia (CSA) is a very reliable method for providing effective anesthesia and offers considerable advantages over “single shot” spinal or epidural anesthesia since it provides the performance of well-controlled anesthesia using small doses of local anesthetics and a definite end point with less failure rate. Materials and Methods: 100 patients of ASA grade III to IV were scheduled for elective Major orthopedic Lower Limb Surgeries and they were divided into two groups, one received continuous spinal anesthesia using spinocath set, the other group received continuous epidural anesthesia. The doses of local anesthetic used, hemodynamic variables, a degree of technical difficulties and the incidence of complications were recorded. Results: eight patients were excluded (5 CSA and 3 CEA). There was a significantly lower incidence of paresthesia in the CEA group. The performance time was significantly shorter in the CEA group. The total dose of bupivacaine and number of top-up doses was significantly smaller in the CSA group than in the CEA group. The onset of sensory blockade level and motor blockade was significantly higher with CEA. As regards the
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