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The influence of lateral decubitus position in patients receiving unilateral spinal anesthesia on the sensory block, motoric block and hemodynamic stability in lower limb surgery.
Author(s):
1. Syafri Kamsul Arif: Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
2. Firmansyah : Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Abstract:
Unilateral spinal anesthesia is used to limit sympathetic, sensory and motor blocks and minimize hemodynamic changes. This study aimed to assess the effect of unilateral spinal anesthesia on patients with lower limb surgery when they were kept in the lateral decubitus position for 10, 15 and 20 min. We observed the effect of hyperbaric bupivacaine (0.5% of 10 mg) on sensory block, motor block and hemodynamic stability. This single-blind, randomized clinical trial was conducted on 51 subjects divided into 3 groups (each consisted of 17 subjects). Each group received spinal anesthesia (with the surgery side down) using hyperbaric bupivacaine (0.5% of 10 mg). Bevel was directed toward the surgery side and the injection was given slowly over 60 seconds without barbotage. After administration of spinal anesthesia, the lateral decubitus position was maintained for 10 min in group A, 15 min in group B and 20 min in group C. After that, patients returned to the supine position and block onset, duration and height and the patients’ hemodynamics were assessed. The findings of this research revealed that there was no significant difference in the onset of sensory and motor blocks, nor on the height of the sensory and motor blocks on the surgery side (p
Page(s): 474-479
DOI: DOI not available
Published: Journal: Pakistan Journal of Nutrition, Volume: 15, Issue: 5, Year: 2016
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