STUDY TO SEE THE EFFECTS OF DIFFERENT VOLUMES OF EPIDURAL SALINE INJECTION DURING SPINAL ANESTHESIA

Bharat Bhusan Yadav*, Anjana Agrawal, Dheeraj Kumar Singh, Sachin Tutu, Preet Lakhani, Amod Sachan, R. K. Dixit

ABSTRACT

Title:- Study to see the effects of different volumes of epidural saline injection during spinal anesthesia. Aims and Objectives:- To observe the effects of different volumes of epidural saline injection after spinal anesthesia using combined spinal – epidural techniques. Material and Methods:- Patients of ASA grade I and grade II, admitted to Gandhi Memorial and Associate Hospitals Lucknow scheduled for different surgical procedures of lower abdomen and below were included in study. After taking proper informed consent patients were enrolled for the study. Epidural catheter insertion was performed at L3-L4 or L4-L5 levels. In subarachnoid space 2ml of 5% lidocaine is injected after twenty minutes epidural saline in different quantity 10ml, 15ml, and 20ml were given in different groups of patients. Level of analgesia was evaluated b pinprick method. Data were analyzed by applying student „t‟ test and P<0.05 was considered statistically significant. Results and conclusions:- The level of sensory blockade at different time intervals after spinal anesthesia were not statistically significant different in all the groups and the maximum level of sensory blockade after spinal anesthesia can be achieved approximately within 5 minutes.

Keywords: Epidural saline injection, spinal anesthesia, lidocaine.