Tilting the operating table to operated side down after spinal block result in increasing anesthetic level compare to non-tilting in lower extremity surgery patient that unable to put operated side down during perform spinal anesthesia
Keywords:
Tilting the operating table, increasing anesthetic levelAbstract
Spinal anesthesia provides analgesia for lower abdomen and lower extremities surgery. Patient received spinal anesthesia in lateral decubitus with hyperbaric bupivacaine, lower side mostly paresthesia more than upper side. If patient unable to put operated side down, result in inadequate anesthesia and we must repeat spinal anesthesia or additional general anesthesia.
Objective: Compare anesthetic level operated and non-operated side in tilt or non-tilt operating table after perform spinal anesthesia.
Methodology: Randomized control trial for lower extremity surgery patient in Loei Hospital who choose spinal anesthesia and unable to put operated side down. ASA class I-II and 48 in each group during 1st Mach-31st December 2020
Result: Mostly age < 60 experimental group 79.2% and control group 89.6%. Mostly are male experimental group 70.8% and control group 77.1%. BMI < 25 70.8% both groups equally. Mostly ASA class I experimental group 64.6% and control group 66.7%. Volume of 0.5% bupivacaine 2.15±0.26 ml in experimental group and 2.19± 0.22 ml in control group.
Clinical outcome: Tilting the operating table to operated side down after spinal block result in significant increasing anesthetic level 1.85±1.74 level (p- value < 0.001). Anesthetic level increasing 68.8% and same level 31.3%.
Summary: From this study we can apply tilting the operating table to operated side down after spinal block in lower extremity surgery patient that unable to put operated side down during perform spinal anesthesia for increasing anesthetic level.
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