Efficacy of Spinal Anaesthesia for Laparoscopic Ventral Hernia Repair

International Journal of Biomedical Research

P. G. Dhumane¹  Taaeba Iffat Syed Naqeeb Mujtaba¹ 

[1] Department of Anesthesia, Government Medical College, Nagpur, Maharashtra

关键词: Spinal anaesthesia;    Laparoscopic ventral hernia repair;    Subarachnoid block;    Bupivacaine;    Fentanyl. Pneumoperitoneum;   

DOI  :  10.7439/ijbr.v7i4.3228

学科分类：基础医学

来源: Scholar Science Journals

【 摘 要 】

Aim and Objective: Aim of the present study was to evaluate efficacy of spinal anaesthesia in terms of onset, duration and quality of sensory& motor blockade, hemodynamic stability and perioperative complications. Methods: The study enrolled 30 patients of either sex of ASA grade I and II posted for elective laparoscopic hernia repair. In all the patient spinal anaesthesia was performed using 3 ml 0.5% bupivacaine with 25 mcg fentanyl in L3-L4 inter space. After induction, we studied the various parameters of subarachnoid block. Result: Mean time required for onset of sensory and motor block was 2.460.43 (2-3) and 6.931.48 (59) minutes respectively. The mean time for reappearance of pain sensation at surgical site (duration of sensory block) was 294.0062.24 minutes as well as mean time for reappearance of flexion at hip (duration of motor block) was 220.046.04 (100300) minutes. Quality of analgesia and quality of motor block was grade 3 in 20 patients (66.67%) and grade 2 in 10 patients (33.33%). None of the patients had grade 0 and grade 1quality. Conclusion: Spinal anaesthesia with 0.5% bupivacaine (3 ml) and fentanyl (25 mcg) for elective laparoscopic ventral hernia repair was efficacious and has preserved ventilation and hemodynamic changes within physiological limits during pneumoperitoneum with minimal treatable side effects.

【 授权许可】

CC BY