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Volume 13 Issue 11 (November) 2024

Original Articles

Hemodynamic effects of spinal anesthesia: hyperbaric bupivacaine vs. Isobaric chloroprocaine
Nurulhuda Ansari, Shashi Kumar

Background: Spinal anesthesia is a critical component of perioperative management, especially in outpatient and short-duration surgeries. Comparing hyperbaric bupivacaine and isobaric chloroprocaine provides insights into optimizing anesthesia protocols to enhance patient outcomes and operational efficiency. Methods: Haemodynamic parameters, block characteristics, recovery times, and adverse events were recorded and analysed in 60 elective lower abdominal or lower limb surgery patients who received 10 mg of 0.5% hyperbaric bupivacaine (Group A) or 40 mg of 1% isobaric chloroprocaine (Group B). Results: Isobaric chloroprocaine demonstrated superior hemodynamic stability, with fewer incidences of hypotension and bradycardia compared to hyperbaric bupivacaine. The onset of sensory and motor blocks was significantly quicker, and the duration of blocks was shorter in the chloroprocaine group, facilitating earlier ambulation and discharge. Conclusion: Isobaric chloroprocaine's quick onset, regular block length, and minimal haemodynamic abnormalities make it ideal for brief spinal anaesthesia treatments. Its qualities make it ideal for surgical throughput, improving patient safety and satisfaction.

 
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