0.3% bupivacaine for combined spinal and epidural anesthesia elderly clinical analysis.docVIP

 PAGE \* MERGEFORMAT 9 0.3% bupivacaine for combined spinal and epidural anesthesia elderly clinical analysis Study: Linyi Xiong Zheng Zhou Bi Chang thin girl [Abstract] Objective: To study the lumbar epidural anesthesia for the elderly feasibility and safety of lower limb surgery. Methods: 40 elderly patients were randomly divided into combined spinal and epidural anesthesia (CSEA) group and continuous epidural anesthesia (CEA) group. CSEA group received 0.3% bupivacaine 2 ~ 2.5ml, CEA application of 1% lidocaine and 0.375% bupivacaine. in each group were recorded after injection, sensory block onset time, feel a fixed plane time, for the first time duration anesthesia, motor blockade onset time, maximum motor blockade, Bromage score; record hypotension, chills, nausea and vomiting and postoperative urinary retention, headache and other adverse reactions. Results: The two groups onset time of sensory block, sensory level fixed time, for the first time duration and motor block onset time, maximum motor blockade were significantly different (P = 0.000), Bromage scores, there is also significant difference (P = 0.022), but the two groups of blood pressure, chills, nausea and vomiting and postoperative headache, urinary retention and other adverse reactions was no significant difference (P = 1.000). Conclusion: 0.3% bupivacaine epidural anesthesia for lower limb surgery in elderly patients is safe and satisfactory anesthetic effects, adverse reactions. Keywords:] lumbar epidural anesthesia; epidural anesthesia; elderly Previous lower limb surgery in elderly patients with general anesthesia with continuous epidural (CEA) to complete. With the emergence of needle within the epidural needle, spinal and epidural anesthesia (CSEA) has been widely used in the elderly surgical [1,2 ]. the author from January 2009 ~ June 2009, to 0.3% bupivacaine for combined spinal and epidural anesthesia elderly, the final report is as follows. 1 Materials and Methods Ane