Rachianesthesie unilaterale versus rachianesthesie conventionnelle lors des chirurgies des fractures traumatiques de la hanche

الملخص EN

Introduction : the aim of our work is to evaluate the hemodynamic effects of two methods of anesthesia(conventional spinal anesthesia and unilateral spinal anesthesia) for surgical cure of hip fracture.

patients and methods: - rac group: (n = 20) 7.5 mg 0.5% isobaric bupivacaine with 1 ml of distilled water, and 10 μg of fentanyl injected at l3-l4 or l4- l5.

patients were immediately turned supine.

- rau group: (n = 20) unilateral spinal anesthesia group.

7.5 mg of 0.5% isobaric bupivacaine with 1 ml of distilled water, and 10 μg of fentanyl (injected at l3-l4 or l4-l5).

patients were kept in lateral decubitus for 15 mn.

results: systolic blood pressure and mean arterial blood pressure were higher in the rau group.

the incidence of hypotension was higher in the rac group than in the rau group.

the maximum systolic blood pressure drop was deeper in the rac group.

conclusion: unilateral spinal anesthesia provides less hemodynamic complications than conventional spinal anesthesia.