Comparative Study between Continuous Spinal Anesthesia versus Epidural Anesthesia in Geriatric Patients Undergoing Major Hip Surgery,
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- Category: Vol. 92, December 2024
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Comparative Study between Continuous Spinal Anesthesia versus Epidural Anesthesia in Geriatric Patients Undergoing Major Hip Surgery, MEDHAT H. ALLAM, EZZAT M.A. ELSAUDI, HUSSEIN A. THABET and MOSTAFA M. HUSSEIN
Abstract Background: Hip surgeries (Hip fracture and arthroplasty) are the second most common reason why older people are ad-mitted to hospitals, & as the population’s mean age rises, it is turning into a serious public health issue. Aim of Study: The goal of this research is to compare con-tinuous spinal anaesthesia versus epidural anaesthesia in geriat-ric studied cases undergoing major hip surgeries (hip fractures and hip replacement). Patients and Methods: In Al-Azhar University Hospitals (Assuit), sixty studied cases older than sixty years old who were scheduled for major hip surgery & classified as class II or III by the American Society of Anesthesiologists participated in this randomized, double-blind comparative trial. Studied cases had been randomly assigned to 2 equal groups: Group I consisted of thirty studied cases who received continuous spinal anesthesia, & Group II consisted of 30 studied cases who received contin-uous epidural anesthesia. Results: Both methods provide effective methods of anes-thesia for elderly studied cases undergoing major hip surgeries, with no difference in the intraoperative and postoperative com-plications. Conclusion: In conclusion, this comparative study demon-strates that both continuous spinal anesthesia & continuous epidural anesthesia have been effective methods for providing surgical analgesia in elderly studied cases undergoing major hip surgery, with similar performance times and durations of surgical analgesia.