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Subarachnoid block for lower abdominal and lower limb surgery: UITH experience
1Department of Anaesthesia, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Summary
Subarachnoid block is a safe and effective anesthesia for lower limb and abdominal surgeries. This study found it highly successful with minimal complications, suggesting increased patient awareness can improve its acceptance.
Area of Science:
- Anesthesiology
- Surgical Procedures
Background:
- Subarachnoid block is a reliable anesthesia for lower abdominal and limb surgeries.
- Patient apprehension regarding paralysis can limit its use.
Purpose of the Study:
- To assess the safety and efficiency of subarachnoid block for lower abdominal and lower limb surgeries.
- To evaluate patient outcomes and complications associated with the procedure.
Main Methods:
- A prospective study of 110 adult patients undergoing subarachnoid block.
- Data collected on patient demographics, surgical specialty, and intra-operative/post-operative complications.
- Patients monitored for five days post-procedure.
Main Results:
- No cases of total anesthetic failure were reported.
- Low incidence of complications: hypotension (8.18%), hypertension (8.18%), shivering (8.18%), and post-spinal headache (2.7%).
- Supplementation was required in 11% of cases due to patient discomfort.
Conclusions:
- Subarachnoid block is a highly effective and safe anesthetic technique for indicated surgeries.
- The procedure is cost-effective.
- Efforts to increase patient awareness and acceptance are recommended.