Observational study of segmental epidural anesthesia for orthopedic surgeries

Background: Epidural anaesthesia is suitable technique for lower abdominal and limb surgery. Compared to conventional epidural anesthesia (EA), segmental (SEA) denotes the use of a small volume enough block only segments involved in field with stable hemodynamics limited spread analgesia. We decided do study SEA surgeries. Aim was observe characteristic sensory motor block, quality analgesia, peri-operative complications. Methods: After institutional ethical committee approval, prospective observational orthopedic surgeries carried out 130 patients 18 60 years either sex ASA grade І-Ш. For SEA, we used bolus dose lignocaine adrenaline (L+A) 2% 8 12 ml injected over 4 minutes according anticipated required be blocked patient’s condition type Top up dosages were repeated every minutes. Quality analgesia total local anesthetic recorded intraoperatively. Results analysed statistically compared using student’s paired ‘t’ test. P value <0.05 considered as significant. Results: Requirement ml, 10 78 patients, 31 7 respectively. In all 1st top given while 2nd 32 only. Intra op MAP remains near baseline. excellent 66 (55%), good 35 (29%) fair 15 (12.5%). Conclusions: concluded that safe reliable hemodynamics, involving minimal side effects.