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Related Experiment Videos

Saddle block with pethidine for perineal operations.

I Acalovschi, V Ene, E Lörinczi

    British Journal of Anaesthesia
    |September 1, 1986
    PubMed
    Summary

    Saddle blockade using pethidine hydrochloride provided effective anesthesia for perineal surgeries. This method ensured hemodynamic stability and offered significant postoperative pain relief with minimal complications.

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    Area of Science:

    • Anesthesiology
    • Neurosurgery

    Background:

    • Perineal surgeries require effective anesthesia.
    • Saddle blockade is a regional anesthesia technique.

    Purpose of the Study:

    • To evaluate the efficacy and safety of saddle blockade with pethidine hydrochloride for short perineal surgeries.

    Main Methods:

    • 111 patients received subarachnoid injection of pethidine hydrochloride (0.5 mg kg-1) at L4-5 or L5-S1 in a sitting position.
    • Sensory and motor blockade onset, duration, and patient hemodynamics were monitored.

    Main Results:

    • Sensory blockade onset averaged 5.28 minutes, followed by motor blockade within 1-2 minutes.
    • Hemodynamic stability and no respiratory depression were observed.
    • Sensory blockade lasted 141 minutes, with postoperative analgesia averaging 301 minutes.
    • Minor complications included headache, itching, nausea, vomiting, and urinary retention. Neurological complications occurred in 2.7% of patients.

    Conclusions:

    • Saddle blockade with pethidine hydrochloride is a safe and effective anesthetic technique for short perineal surgeries.
    • It provides rapid onset of anesthesia and prolonged postoperative analgesia.
    • The complication rate is low, making it a viable option for selected procedures.

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