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VOL. 5, ISSUE 10 (2019)
Comparison of 2-Chloroprocaine, bupivacaine, and lidocaine for spinal anesthesia in infraumbilical day-case surgeries
Authors
Dr. Ram Nivas, Dr. Neelam Meena, Dr. Ram Parsad, Dr. RK Solanki, Dr Vandana Sharma
Abstract
Introduction: Spinal anesthesia is a safe and reliable technique for surgery of the lower abdomen and lower limbs. The choice of the correct local anaesthetic for spinal anesthesia is crucial in the ambulatory setting, ideal anaesthetic should allow rapid onset and offset of its own effect for fast patient discharge with minimal side effects. Materials and Methods: Patients received one of the following into the subarachnoid block: Group C: 40mg 1% preservative free plain 2-chloroprocaine or Group L: 40mg of 1% plain lidocaine or Group BU: 7.5mg of 0.5% plain bupivacaine. To assess onset, level, regression of sensory block by dermatome level, motor block by Modified Bromage Score, time to complete recovery from sensory and motor block, time until first ambulation. Result: Time to full recovery of sensory block (min) in group C, L and BU was 152.54±20.33, 203.51±36.77 and 413.77±99.49. Mean Duration of motor block (min) in group C, L and BU was 96.82±16.09, 115.4±17.87 and 201.54±64.68. Mean time of First ambulation (min) in group C, L and BU was 171.54±41.53, 211.45±20.14 and 287.91±39.06. Conclusion:Patients undergoing spinal anaesthesia for infraumbilical day-case surgery, chloroprocaine had shortest time to onset and time until complete recovery of sensory and motor block when compared lidocaine. Voiding, ambulation, discharge times were shorter for chloroprocaine compared with bupivacaine, but not in comparison with lidocaine.
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Pages:89-95
How to cite this article:
Dr. Ram Nivas, Dr. Neelam Meena, Dr. Ram Parsad, Dr. RK Solanki, Dr Vandana Sharma "Comparison of 2<em>-</em>Chloroprocaine, bupivacaine, and lidocaine for spinal anesthesia in infraumbilical day-case surgeries". International Journal of Medical and Health Research, Vol 5, Issue 10, 2019, Pages 89-95
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