THE STUDY OF CLINICAL EFFECTS OF SEQUENTIAL COMBINED SPINAL EPIDURAL ANAESTHESIA AND SPINAL ANAESTHESIA IN PATIENTS UNDERGOING ORTHOPEDIC SURGERIES

Abstract

In Orthopaedics surgeries, the usage of neuraxial blockade has been increasing to provide excellent surgical conditions and prolonged post-operative analgesia. The introduction of Sequential Combined Spinal Epidural technique (SCSE) provides benefits of all Spinal Anaesthesia(SA) and Epidural Anaesthesia. The focus of this thesis was to analyze the clinical benefit of SCSE and SA in patients undergoing Orthopedics surgeries. OBJECTIVES OF THE STUDY:  To find the time needed in both groups to attain a desired level of sensory block.  To compare the period of sensory block between the 2 groups.  To study the intraoperative hemodynamics. MATERIALS AND METHODS: • Study Design: Prospective Cohort study • Sample Size: Two groups of 68 subjects each • Duration of study: From January 2020 to May 2021 Sampling Method: Patients posted for lower limb surgeries 2-3 hrs under subarachnoid block(SAB). XX RESULT: We discovered that the time taken for desired level of sensory block less in the group with SA and the duration of sensory block was better in the group with spinal anaesthesia when compared to SCSE. But ,the intraoperative hemodynamics and analgesic effects was better with SCSE technique. CONCLUSION: we conclude that spinal anesthesia provided faster sensory blockade when compared to SCSE technique but in terms of intraoperative hemodynamic stability and requirement of postoperative analgesia, SCSE was better.