Comparison of the effects and complications of unilateral spinal anesthesia versus standard spinal anesthesia in lower-limb orthopedic surgery

Abstract

When unilateral spinal anesthesia was performed using a low-dose, low-volume and low-flow injection technique, it provides adequate sensory-motor block and helps to achieve stable hemodynamic parameters during orthopedic surgery on a lower limb. Patients were more satisfied with this technique as opposed to the conventional approach. Furthermore, this technique avoids unnecessary paralysis on the non-operated side.

Effect of Position During Spinal Anesthesia on Postdural Puncture Headache After Cesarean Section: A Prospective, Single-Blind Randomized Clinical Trial

“…Similar to the work of Moosavi Tekyes et al (18), the incidence of nausea and vomiting was more common in the sitting position group in the present study.…”

“…This study included 70 Pakistani patients of both genders aged more than 60 years undergoing spinal anesthesia. Conversely, in our study, hyperbaric bupivacaine solutions were used in 100 parturients aged 19 - 49 years scheduled to undergo elective caesarian section (18). …”

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

“…In another study conducted with 40 mL 1% mepivacaine, CSFB and spinal anesthesia with 7 mg hyperbaric bupivacaine were compared. It has been reported that medical treatment was needed after 230 minute in spinal anesthesia group and after 310 min in sciatic and femoral block group, for one patient in each group at postoperative period (8). In a study investigating the sciatic and femoral block and spinal anesthesia conducted by Casati et al, (22) it has been reported that postoperative analgesia was provided for all groups.…”

“…The advantages of unilateral spinal anesthesia over bilateral spinal anesthesia are low cardiovascular side effects, strong blockade during surgery using low doses, fewer hospitalization; and the disadvantage is that it requires protecting the lateral position for a while (6)(7)(8). When the side effects of peripheral block applications, such as pain in the application area and the side effects of spinal anesthesia, such as headache, urinary retention, and spinal hematoma are compared, peripheral block is a good alternative to spinal anesthesia.…”

“…When the side effects of peripheral block applications, such as pain in the application area and the side effects of spinal anesthesia, such as headache, urinary retention, and spinal hematoma are compared, peripheral block is a good alternative to spinal anesthesia. In addition, the hospitalization is further shortened (8).…”