Minidose Bupivacaine–Fentanyl Spinal Anesthesia for Surgical Repair of Hip Fracture in the Aged

Ben‐David, Bruce; Frankel, Roman; Arzumonov, Tatianna; Marchevsky, Yuri; Volpin, Gershon

doi:10.1097/00000542-200001000-00007

Cited by 177 publications

(115 citation statements)

References 13 publications

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“…22,23 This concurs with the results obtained in the present study, in which the incidence of hypotension in the experimental group was significantly lower than that in the control group (P ¼ 0.009). However, hypotension was easily corrected, without complications, by intravenous administration of ephedrine and phenylephrine in both groups.…”

Section: Discussionsupporting

confidence: 92%

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

et al. 2013

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Objective: The study evaluated the clinical intraoperative effects of intrathecal administration of fentanyl on shoulder tip pain in patients undergoing laparoscopic total extraperitoneal inguinal hernia repair (TEP) under spinal anaesthesia. Methods: Patients undergoing TEP were allocated in a double-blinded, prospective, randomized manner to two groups. Spinal anaesthesia was induced by intrathecal administration of 2.8 ml of 0.5% hyperbaric bupivacaine (14 mg) in the control group and with 2.6 ml of 0.5% hyperbaric bupivacaine (13 mg) and 10 mg fentanyl (0.2 ml) in the experimental group.Results: The quality of muscle relaxation, adequacy of operative space and incidence of pneumoperitoneum were similar in the two groups (n ¼ 36 per group). Compared with the control group, the experimental group had significantly fewer cases of hypotension (12 [

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Section: Discussionsupporting

confidence: 92%

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

et al. 2013

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“…Similar findings were observed by Ben David and his colleagues, in which they used minidose of Bupivacaine with Fentanyl as a spinal anaesthesia for surgical repair of hip fracture in the elderly paients, and found less hypotension that nearly eliminates need of vasopressor agents to support blood pressure. 20 In this study bradycardia was observed in the both the groups, requiring treatment. This finding is comparable to the studies done by Singh et al and Ben David et al 9,12 Thus, it is evidenced that intrathecal Fentanyl was not involved in the incidence of bradycardia.…”

Section: Discussionmentioning

confidence: 51%

Comparison between high dose hyperbaric Bupivacaine (12.5 mg) alone versus low dose hyperbaric Bupivacaine (7.5 mg) with Fentanyl (25 µg) in spinal anaesthesia for inguinal hernia surgery

et al. 2016

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Background: For performing inguinal hernia surgeries, giving spinal anesthesia is a well known technique as it easy and provides fast onset, effective sensory and motor blockade in an awake patient. Now-a-days Bupivacaine is gaining importance as an effective spinal anaesthetic agent in combination with opioid analgesic Fentanyl to reduce the postoperative pain and side effects associated with surgery. This study aims to compare the effectiveness of intrathecal Bupivacaine alone versus combination of Bupivacaine with Fentanyl.Methods: The study designed was a prospective, randomized, double blinded comparative study. Patients were randomly divided into two groups of 25 each. Group B received hyperbaric intrathecal Bupivacaine 12.5 mg and Group BF received diluted hyperbaric intrathecal Bupivacaine 7.5 mg and Fentanyl 25 µg for spinal anesthesia . Parameters like sensory and motor block were assessed. Side effects produced during perioperative and postoperative period were observed and noted. Satisfactory criteria by the surgeons and patients were considered.Results: The time taken to attain surgical anesthesia and peak sensory levels in minutes was statistically significant in Group B compared to Group BF. Due to higher dose of Bupivacaine, it was observed that degree of motor blockade is also higher in group B when compared to group BF. The incidence of hypotension, nausea, vomiting and hypothermia are significantly higher in group B due to high dose of Bupivacaine. The surgeons and patients satisfaction was good in both the groups. Conclusions: Low dose Bupivacaine in combination with Fentanyl is safe and effective alternative for spinal anesthesia for inguinal herniorrphaphy as compared to conventional high dose Bupivacaine alone.

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“…A low dose of bupivacaine heavy was given as low dose bupivacaine plus 4 Anesthesiology Research and Practice fentanyl has been shown to provide stable haemodynamics with reduced requirement of vasoconstrictive drugs or fluids [8]. Sanatkar et al [9] observed that decrease of blood pressure after a low dose of subarachnoid block in patients with low ejection fraction was lower than in patients with EF > 40%.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%

Sahu

Dhiraaj

Srivastava

et al. 2014

Indian Journal of Transplantation

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Cardiovascular disease (CVD) is an important comorbidity of chronic kidney disease, and reducing cardiovascular events in this population is an important goal for the clinicians who care for chronic kidney disease patients. The high risk for CVD in transplant recipients is in part explained by the high prevalence of conventional CVD risk factors (e.g., diabetes, hypertension, and dyslipidemia) in this patient population. Current transplant success allows recipients with previous contraindications to transplant to have access to this procedure with more frequency and safety. Herein we provide a series of eight patients with dilated cardiomyopathy with poor ejection fraction posted for live donor renal transplantation which was successfully performed under regional anesthesia with sedation.

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Minidose Bupivacaine–Fentanyl Spinal Anesthesia for Surgical Repair of Hip Fracture in the Aged

Cited by 177 publications

References 13 publications

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

Comparison between high dose hyperbaric Bupivacaine (12.5 mg) alone versus low dose hyperbaric Bupivacaine (7.5 mg) with Fentanyl (25 µg) in spinal anaesthesia for inguinal hernia surgery

Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%

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