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KMID : 0356919940270020164
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Korean Journal of Anesthesiology
1994 Volume.27 No. 2 p.164 ~ p.169
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Single Caudal Anesthesia for Total Hip Replacement in Geriatirc Patients
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Abstract
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Caudal anesthesia for total hip replacement in geriatric patients has been evaluated clinically.
The caudal epidural puncture was performed by a 22 G short needle needle through sacral hiatus with a lateral decubitus position. 1.5% lidocaine 20 mL and 0.5% bupivacaine 15 mL mixed with 1:200,000 epinephrine and 2 mg morphine was used as an
anesthetics.
@ES The results were follows:
@EN 1) The onset of caudal anesthesia was 7.9±4.5 min (2-20 min)and the duration was 4.8±3.0 hrs (1-12 hrs).
2) Anesthetic sensory level was not related with the patient's weight or height.
3) The failure rate including systemic toxicity was 13%.
4) The most common complication was hypotension and its incidence was 26.6%.
5) Time to first analgesics was 8.3±3.6 hrs.
These results indicate that caudal anesthesia in lateral decubitus position is a recommendable anesthetic technique for total hip replacement in geriatric patients. However, the further studies for the determinations of the optimum dose of local
anesthetics are needed.
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