Continuous Spinal Anesthesia Versus Single-Shot Spinal Anesthesia in Terms of Hemodynamic Stability

Abstract

A cross-sectional study was conducted based on observation and comparison, and this paper aimed to find out the effects of Continuous spinal anaesthesia versus single-shot spinal anaesthesia in terms of hemodynamic stability. In this study, 65 patients were recruited and distributed into two groups (the first group included 35 patients who underwent CSA) (and the second group included patients who underwent single-shot spinal anaesthesia (for 30 patients). Most patients with Lower Abdominal and Hip Surgeries whose physiological cardiovascular reserve is limited, which also leads to severe heart disease and other comorbidities that cannot be improved, and this leads to high morbidity, so perioperative management and choice of anaesthesia technique are very important. The results which found (45.22 ± 15.2 of the age group with Continuous spinal anaesthesia and 44.3 ± 10.53 of the group with single-shot spinal anaesthesia), The duration of surgery for patients who underwent CSA was 144±33, while for patients who underwent single-shot spinal anaesthesia, it was MEAN+SD 120±27, results according to Volume of fluid infused (ml) were 1190±291 of group CSA and 1512±290 ml of group Single Shot Spinal Anaesthesia. In this study, the most common complications were found in the group of patients who underwent SSSA, with 12 patients (40%). As for the group of CSA patients, the prevalence of complications was in 3 patients out of 35 patients, with 5.6%. We can conclude from this research of 65 patients that patients who underwent CSA achieved better outcomes than patients who underwent SSSA according to the prevalence of complications and assessment of patients’ quality of life.

Keywords

SSSA, CSA, Anaesthesia, Complications, Underwent