Indian Journal of Applied Basic Medical Sciences
Year: 2021, Volume: 23(B), Issue. (2)
First page: (147) Last page: (158)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi: 10.48165/ijabms.2021.233712 

Comparison Of Lumbar Sacral Plexus Block With  Spinal Anesthesia In High-Risk Patients Scheduled For  Hip Surgeries
Dr. Siddhi H. Patel1, Dr Kamala. H. Mehta2, Dr Saurin. B. Panchal3, Dr Roopal  R. Garaniya4,Dr Divya R. Chauhan5
12nd year resident Dept. of Anaesthesia, Smt. SCL general hospital, Ahmedabad.
2Professor & HOD Dept. of Anaesthesia, Smt. SCL general hospital, Ahmedabad.
3Assistant Professor Dept. of Anaesthesia, Smt. SCL general hospital, Ahmedabad.
41st year Resident Dept. of Anaesthesia, Smt. SCL general hospital, Ahmedabad.
51st year Resident Dept. of Anaesthesia, Smt. SCL general hospital, Ahmedabad.
Corresponding Author: Dr. Siddhi H. Patel, Email: drsiddhi2017@gmail.com

Online Published on 25-August-2021

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ABSTRACT

BACKGROUND: High risk elderly patients with hip fractures were the greatest challenge to anesthesiologist as  they are more prone to perioperative morbidity and mortality. Combined lumbar sacral plexus  block have been an effective method of anaesthesia, also considerable in postoperative  analgesia in high-risk patients of hip surgeries as it provides fewer complications, better  homeostasis, hemodynamic control. OBJECTIVES: The aim of this study was to compare the efficacy of lumbar sacral plexus block with  subarachnoid block in terms of onset and duration of sensory and motor blockade,  hemodynamic changes and postoperative analgesia. MATERIALS AND METHODS: This prospective randomized study was carried out in 50 patients aged 35-80 years and weighed  40 to 85 kg belonging to ASA physical status III/IV posted for hip surgeries. patients were  divided into two groups, SAB (subarachnoid block) group and LSPB (lumbar sacral plexus  block) group of 25 each by convenient sampling. Onset of sensory and motor blockade,  hemodynamic changes, time for first rescue analgesic were noted and compared. Statistical  analysis was done using SPSS Software.  RESULTS: The perioperative heart rate and arterial blood pressure were more stable in LSPB group.  Postop analgesia duration was significantly prolonged in LSPB group (11.4±1.7 hours) as  compared to SAB group (4.3±0.43 hours). Hypotension and bradycardia noted in SAB group. CONCLUSION:Lumbo-sacral plexus block offered more stable intraoperative hemodynamic parameters and  prolonged postop analgesia as compared to Subarachnoid block in high-risk patients  undergoing hip surgeries.

Keywords

Lumbosacral plexus block, Spinal anaesthesia, Hip surgeries, Analgesia.