Golestan University of Medical Sciences Repository

Saddle block anaesthesia with meperidine for perineal surgery

Bakhsha, F. and Behnampour, N. (2010) Saddle block anaesthesia with meperidine for perineal surgery. Journal of Clinical and Diagnostic Research, 4 (1). pp. 2010-2017. ISSN 0973709X (ISSN)

Full text not available from this repository.

Abstract

Background and Aim: Regional (saddle block) anaesthesia in anorectal and some urological and gynaecological procedures provides suitable conditions for the surgeon due to the sufficiency of analgesia and decreases the side effects of spinal anaesthesia. In this study, duration of the painless period and complications after saddle block with Meperidine (pethidine) were assessed in perineal surgeries. Materials and Methods:This study was conducted on 50 cases observed by the American Society of Anaesthesiologists (ASA) physical status class I, II( 21-70 years old patients), who were scheduled to undergo anorectal surgery. All patients received 500ml of crystalloid solution. The saddle block was done with 30 mg pethidine and sub arachnoid puncture was performed with the patient in the sitting position. Vital signs were recorded 5 minutes before the block and at the 5th, 10th, 15th and 60th minutes after the block. The severity of postoperative pain was assessed by a visual analog scale. The data was analyzed by appropriate descriptive statistical methods. Results: The mean period of analgesia was more than 24 hours in 18% of the patients. The VAS pain score showed no pain in78% of the patients. Sixteen percent of the patients complained of itching in the nose, face and chest, ten minutes after injection and it continued for about two hours. Conclusions: This study showed that the haemodynamic stability and quality of postoperative analgesia with pethidine was good, without any need for additional analgesia. We suggested using low dosage pethidine (30 mg) as saddle block for perineal and anorectal surgeries.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - English [Field not mapped to EPrints] J2 - J. Clin. Diagn. Res. [Field not mapped to EPrints] AD - Anesthesiology, Golestan University of Medical Sciences, Golestan Medical University, Iran [Field not mapped to EPrints] AD - Biostatistics, Golestan University of Medical Sciences, Golestan Medical University, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Anaesthesia, Pethidine, Saddle block, Side effects, pethidine, adult, aged, analgesia, anesthesia induction, anesthesia level, anus surgery, article, crystalloid, disease severity, face, female, hemodynamic parameters, human, major clinical study, male, nose, pain assessment, postoperative pain, pruritus, regional anesthesia, sitting, spinal anesthesia, thorax, visual analog scale, vital sign
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 18 Apr 2015 08:02
Last Modified: 15 Jun 2015 05:50
URI: http://eprints.goums.ac.ir/id/eprint/2224

Actions (login required)

View Item View Item