Abstract

Background & Methods: The aim of the study is to compare spinal versus caudal Epidural Anaesthesia in the management of patients undergoing ambulatory perianal surgery.All subjects received 2 L/min of nasal oxygen during the whole procedure. A > 30 % decrease in MAP from the baseline measurement or a drop in systolic blood pressure < 90 mmHg was defined as hypotension. 5-10 mg intravenous ephedrine was administered in case of Intraoperative hypotension. Heart rate < 50 beats/min was defined as bradycardia. 0.6 mg intravenous atropine was administered to manage intraoperative bradycardia. Results: There were no significant differences between the groups in terms of mean arterial pressure and heart rate recorded. (low MAP at 5 mins).Subjects randomized to spinal anesthesia had a significant extensive motor and sensory block compared to those randomized to caudal epidural anesthesia. VAS scores for surgical pain at postoperative period was significantly higher in patients receiving spinal anesthesia compared to those receiving caudal epidural anaesthesia. Time to first analgesic administration was significantly lower in subjects randomized to spinal anesthesia compared to those receiving caudal epidural anesthesia.

Description