Journal on Recent Advances in Pain

Register      Login

VOLUME 2 , ISSUE 2 ( May-August, 2016 ) > List of Articles

RESEARCH ARTICLE

Comparison between Hemodynamic Changes and Time to First Postoperative Analgesic Requirement in Patients undergoing Unilateral and Bilateral Spinal Anesthesia for Lower Limb Surgeries

Dikshanand Dongre, Neeraj Narang

Citation Information : Dongre D, Narang N. Comparison between Hemodynamic Changes and Time to First Postoperative Analgesic Requirement in Patients undergoing Unilateral and Bilateral Spinal Anesthesia for Lower Limb Surgeries. J Recent Adv Pain 2016; 2 (2):39-43.

DOI: 10.5005/jp-journals-10046-0037

Published Online: 01-09-2014

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Introduction

Unilateral spinal anesthesia is more favorable than bilateral spinal anesthesia. This study was done to compare hemodynamic changes and time to first postoperative analgesic requirement in patients undergoing unilateral and bilateral spinal anesthesia for lower limb surgeries.

Materials and methods

A prospective, randomized study was done in 60 patients of American Society of Anesthesiologists grade 1 undergoing lower limb surgery. Patients were randomized into two groups. Group A (n = 30) received bilateral spinal anesthesia, and group B (n = 30) received unilateral spinal anesthesia. Onset, duration, and time to reach maximum height of sensory block; duration of analgesia; and hemodynamic variables were studied in the two groups.

Results

Duration, time to reach maximum height of sensory block, and duration of analgesia were longer in group B. There were less hemodynamic changes in group B.

Conclusion

Unilateral spinal anesthesia offers more favorable hemodynamic and postoperative analgesic outcome when compared with bilateral spinal anesthesia.

How to cite this article

Dongre D, Mahobia M, Narang N. Comparison between Hemodynamic Changes and Time to First Postoperative Analgesic Requirement in Patients undergoing Unilateral and Bilateral Spinal Anesthesia for Lower Limb Surgeries. J Recent Adv Pain 2016;2(2):39-43.


PDF Share
  1. Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia: results from overview of randomised trials. Br Med J 2000 Dec;321(7275):1493.
  2. Miller's anesthesia. 7th ed. Philadelphia (PA): Churchill Livingstone; 2009. p. 3,1619,1624.
  3. Effectiveness and safety of unilateral spinal anaesthesia. Anestesiol Intensive Ther 2008 Jan-Mar;41(1):33-36.
  4. Epidural and subarachnoid anesthesia cardiovascular and respiratory effect. J Am Mod Assoc 1965 Jan;191(4):275-278.
  5. Cardiac performance during unilateral lumbar spinal block after crystalloid preload. Can J Anaesth 1997 Jun;44(6):623-628.
  6. Frequency of hypotension during conventional or asymmetric hyperbaric spinal block. Reg Anesth Pain Med 1999 May-Jun;24(3):214-219.
  7. Recovery profiles and costs of anaesthesia for outpatient unilateral inguinal herniorraphy. Anesth Analg 2000 Oct; 91(4):876-881.
  8. Unilateral spinal anesthesia, state of art. Minerva Anestesiol 2001 Dec;67(12):855-862.
  9. Comparison of hemodynamic and postoperative analgesic effects of unilateral and bilateral spinal anesthesia. Neuroscience 2006 Jan;11(1):37-40.
  10. Block distribution and cardiovascular effects of unilateral spinal anaesthesia by 0.5% hyperbaric Bupivacaine. A clinical comparison with bilateral spinal block. Minerva Anesthesiol 1998 Jul-Aug;64(7-8):307-312.
  11. Unilateral and bilateral spinal anesthesia with respect to intraoperative and postoperative complications, and time to discharge from hospital for knee arhroscopy. Knee Surg Sports Traumatol Arthros 2004 Mar;12(2):155-158.
  12. Comparison of haemodynamic changes in patients undergoing unilateral and bilateral spinal anesthesia. J Coll Physicians Surg Pak 2012 Dec;22(12):747-750.
  13. Compared cardiorespiratory effects during conventional and unilateral spinal anesthesia. West Afr J Med 2007 Jul-Sep; 26(3):230-233.
  14. Comparison of the effect and complication of unilateral spinal anaesthesia versus standard spinal anaesthesia in lower limb orthopaedic surgery. Braz J Anesthesiol 2014 May-Jun;64(3):173-176.
  15. Comparison of haemodynamic effects of unilateral versus bilateral spinal anaesthesia in adult patients undergoing inguinal hernia repair. Biomedica 2013 Oct-Dec;29(12):718.
  16. Bilateral versus unilateral spinal anesthesia for varicose vein surgery in hypertensive. Periodicum Biologorum 2011 Nov;113(3):349-353.
  17. Haemodynamic effects of unilateral spinal anaesthesia in high risk patients. J Pak Med Assoc 2002 Feb;52(2):66-69.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.