January 1, 2013Saudi Journal of AnaesthesiaOpen Access

Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients

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Why the study?

Does continuous spinal anesthesia compared to unilateral spinal anesthesia improve anesthesia quality and hemodynamic stability in elderly patients undergoing hip surgery?

Population

40 patients aged 65 years and older undergoing hip surgeries

Comparison

Continuous spinal anesthesia with initial 7.5 mg… vs Unilateral spinal anesthesia with 7.5 mg 0.5%…

Design

Other

Follow-up

peroperatively and 2 hours postoperatively

Authors

GSGUlufer SivrikayaAntalya Eğitim ve Araştırma Hastanesi LKLeylaT Kilinc BEBirsen EkşioğluŞişli Etfal Eğitim ve Araştırma Hastanesi

Discussion

Member takes

Implication

USpA may offer higher success than CSA in elderly hip surgery; leaves open need for RCTs to confirm hemodynamic equivalence.

Structured PICO

Does continuous spinal anesthesia compared to unilateral spinal anesthesia improve anesthesia quality and hemodynamic stability in elderly patients undergoing hip surgery?

Population

40 patients aged 65 years and older undergoing hip surgeries

Intervention

Continuous spinal anesthesia (CSA) with initial 7.5 mg (1.5 cc) 0.5% hyperbaric bupivacaine and additional 2.5 mg doses until sensory block reaches T10

Comparator

Unilateral spinal anesthesia (USpA) with 7.5 mg (1.5 cc) 0.5% hyperbaric bupivacaine

Outcome

Hemodynamic parameters, quality of anesthesia (maximum sensorial block level, onset time, regression time), ephedrine requirements, and complicationssurrogate

Both unilateral and continuous spinal anesthesia have similar hemodynamic effects in elderly patients undergoing hip surgery, but unilateral spinal anesthesia has a higher success rate and is preferable for shorter surgeries.

Cite This Study

Sivrikaya et al. (2013) studied this question.

synapsesocial.com/papers/6a927f56915bce628c4f3564 https://doi.org/10.4103/1658-354x.121054

View Full Paper

Ask AI

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January 1, 2013Saudi Journal of AnaesthesiaOpen Access

Comparison of unilateral spinal and continous spinal anesthesia for hip surgery in elderly patients

View Full Paper

Ask AI

Bookmark

Why the study?

Does continuous spinal anesthesia compared to unilateral spinal anesthesia improve anesthesia quality and hemodynamic stability in elderly patients undergoing hip surgery?

Population

40 patients aged 65 years and older undergoing hip surgeries

Comparison

Continuous spinal anesthesia with initial 7.5 mg… vs Unilateral spinal anesthesia with 7.5 mg 0.5%…

Design

Other

Follow-up

peroperatively and 2 hours postoperatively

Authors

GSGUlufer SivrikayaAntalya Eğitim ve Araştırma Hastanesi LKLeylaT Kilinc BEBirsen EkşioğluŞişli Etfal Eğitim ve Araştırma Hastanesi

Discussion

Member takes

Implication

USpA may offer higher success than CSA in elderly hip surgery; leaves open need for RCTs to confirm hemodynamic equivalence.

Structured PICO

Does continuous spinal anesthesia compared to unilateral spinal anesthesia improve anesthesia quality and hemodynamic stability in elderly patients undergoing hip surgery?

Population

40 patients aged 65 years and older undergoing hip surgeries

Intervention

Continuous spinal anesthesia (CSA) with initial 7.5 mg (1.5 cc) 0.5% hyperbaric bupivacaine and additional 2.5 mg doses until sensory block reaches T10

Comparator

Unilateral spinal anesthesia (USpA) with 7.5 mg (1.5 cc) 0.5% hyperbaric bupivacaine

Outcome

Hemodynamic parameters, quality of anesthesia (maximum sensorial block level, onset time, regression time), ephedrine requirements, and complicationssurrogate

Cite This Study

Sivrikaya et al. (2013) studied this question.

synapsesocial.com/papers/6a927f56915bce628c4f3564 https://doi.org/10.4103/1658-354x.121054

View Full Paper

Ask AI

Bookmark