Continuous Anesthesia : Spinal Versus Epidural For Lower Limb Surgeries
Eraki, K., Abaza, K., El Malky, A., Medhat, M. (2022). Continuous Anesthesia : Spinal Versus Epidural For Lower Limb Surgeries. EKB Journal Management System, 28(2), 268-276. doi: 10.21608/zumj.2020.15532.1579
Khaled Eraki; Kamelia Ahmed Abaza; Amal Ali El Malky; Marwa Medhat. "Continuous Anesthesia : Spinal Versus Epidural For Lower Limb Surgeries". EKB Journal Management System, 28, 2, 2022, 268-276. doi: 10.21608/zumj.2020.15532.1579
Eraki, K., Abaza, K., El Malky, A., Medhat, M. (2022). 'Continuous Anesthesia : Spinal Versus Epidural For Lower Limb Surgeries', EKB Journal Management System, 28(2), pp. 268-276. doi: 10.21608/zumj.2020.15532.1579
Eraki, K., Abaza, K., El Malky, A., Medhat, M. Continuous Anesthesia : Spinal Versus Epidural For Lower Limb Surgeries. EKB Journal Management System, 2022; 28(2): 268-276. doi: 10.21608/zumj.2020.15532.1579

Continuous Anesthesia : Spinal Versus Epidural For Lower Limb Surgeries

Zagazig University Medical Journal
Article 12, Volume 28, Issue 2, March 2022, Page 268-276  XML PDF (390.38 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.15532.1579
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Authors
Khaled Eraki email orcid 1; Kamelia Ahmed Abazaorcid 2; Amal Ali El Malkyorcid 2; Marwa Medhat2
1Anesthesia & surgical icu , faculty of medicine , zagazig university , zagazig , Al sharqia , egypt
2Anesthesia & surgical icu , faculty of medicine , zagazig university , zagazig , al sharqia , egypt
Abstract
Background : The use of continuous spinal anesthesia (CSA) has been slow because the high risk of post dural puncture headache (PDPH). However, recent researches suggest significant reduction in PDPH when intrathecal catheters are used. This study aimed to compare between (CSA) & continuous epidural anesthesia (CEA) in lower limb surgeries.
Patients & Methods : A comparative randomized prospective clinical study to compare onset, effect & side effects between (CSA) & (CEA) in LL surgeries. 46 patients, 21 - 60 years of age who were scheduled for elective LL surgeries, expected to last from 2 - 6 hours, were included in this study & divided into two groups of 23 each. Group S (CSA) & Group E (CEA). All patients were assessed for : hemodynamics , technical implementation period , sensory & motor onset , quality of the block , technical problems , post operative visual analogue scale (VAS) & any complications.
Results : Regarding sensory & motor onset time & technical implementation period all were shorter in group S than group E. There was no significant difference as regard hemodynamics, duration of sensory recession & number of top up doses in both groups. There were no neurological sequelae nor (PDPH) in any patient in both groups.
Conclusion : (CSA) using a 20 G catheter is an easy technique, better onset & quality, ↓ risk of systemic toxicity & no ↑ risk of (PDPH) when compared to (CEA).
Key Words : Continuous , Anesthesia , Spinal , Epidural.
Keywords
Continuous; Anesthesia; spinal; epidural
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