Title: Spinal Anaesthesia Using Taylors Lumbosacral Approach to Reduce the Incidence and Severity of Hypotension in Patients Undergoing Transuretheral Resection of Prostate
Authors: Dr Kamini Randhawa, Dr Shweta Mahajan, Dr Arti Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v9i6.10
Abstract
Hypotension are the most common undesired side effects during spinal anaesthesia. Taylor lumbosacral approach of spinal anaesthesia caused less hypotension in patient undergoing TURP. The purpose of the present study was to compare the incidence and severity of hypotension between a lumbar approaches at L4/5 or Taylor’s lumbosacral approach. 30 patients received SPA by a L4/5 approach and 30 patients by Taylor’s approach. Bupivacaine dose did not differ between groups. Onset of MLSB was faster (3.17+1.020 min vs 7.20+1.215, p < 0.001) in the lumbar group. Onset of motor block was faster (5.47+1.358 min vs 8.40+0.770) in lumbar group but duration of motor block did not differ between groups. The maximum decrease in mean arterial pressure was also greater in the lumbar group (60% vs. 70%, p value 0.037). SPA with plain bupivacaine using Taylor’s approach was associated with slower onset of MLSB and less hypotension compared to the classical lumbar approach at L4/5.
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