Comparative Study between Continuous Spinal Anesthesia versus Epidural Anesthesia in Geriatric Patients Undergoing Major Hip Surgery | ||||
| The Medical Journal of Cairo University | ||||
| Volume 92, Issue 12, December 2024, Page 1249-1255 PDF (177.1 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2024.411637 | ||||
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| Author | ||||
| MEDHAT H. ALLAM, M.D.; EZZAT M.A. ELSAUDI, M.D.; HUSSEIN A. THABET, M.Sc. and MOSTAFA M. HUSSEIN, M.D. | ||||
| The Department of Anaesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Assuit | ||||
| Abstract | ||||
| Abstract Background: Hip surgeries (Hip fracture and arthroplasty) are the second most common reason why older people are ad-mitted to hospitals, & as the population’s mean age rises, it is turning into a serious public health issue. Aim of Study: The goal of this research is to compare con-tinuous spinal anaesthesia versus epidural anaesthesia in geriat-ric studied cases undergoing major hip surgeries (hip fractures and hip replacement). Patients and Methods: In Al-Azhar University Hospitals (Assuit), sixty studied cases older than sixty years old who were scheduled for major hip surgery & classified as class II or III by the American Society of Anesthesiologists participated in this randomized, double-blind comparative trial. Studied cases had been randomly assigned to 2 equal groups: Group I consisted of thirty studied cases who received continuous spinal anesthesia, & Group II consisted of 30 studied cases who received contin-uous epidural anesthesia. Results: Both methods provide effective methods of anes-thesia for elderly studied cases undergoing major hip surgeries, with no difference in the intraoperative and postoperative com-plications. Conclusion: In conclusion, this comparative study demon-strates that both continuous spinal anesthesia & continuous epidural anesthesia have been effective methods for providing surgical analgesia in elderly studied cases undergoing major hip surgery, with similar performance times and durations of surgical analgesia. | ||||
| Keywords | ||||
| Spinal Anesthesia; Epidural Anesthesia; Geriat-ric; Hip Surgery | ||||
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