Pre-operative single shot epidural with bupivacaine and dexmedetomidine in lumbar spine surgeries – A case report

Introduction : spine surgeries and associated pain is a major setback in most of cases and is a stupendous task to manage. Reducing the requirement of para-enteral analgesics improves the outcome and minimizes the associated side effects. Case Report : patient posted for lumbar decompression with chronic renal disease was managed by single shot epidural infiltration of 0.25% bupivacaine with 20 mcg of dexmedetomidine for intra-op as well as post operative analgesia, which reduced the requirement of NSAIDS or Opioids and inturn reduced the associated side effects and provided better hemodynamic stability. Conclusion : Managing patient with chronic renal disease is difficult task as NSAIDS can cause futher damage to the kidneys. One of the ways to reduce immediate post operative and intra-operative pain is via single shot epidural analgesia which we have discussed in our case report.