Indian Journal of Clinical Anaesthesia

Innovative Education and Scientific Research Foundation

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Registered Under Government of India NGO – Indian Trust Act 1882

Spinal anaesthesia for ambulatory urology surgery: a comparison of chloroprocaine with fentanyl and bupivacaine with fentanyl

Article : Open access

Article type : Research Article

Volume : 7

Issue : 2

Year : 2020

Author : Vijay Mathur, Taslim Mansuri, Vipin Kumar Goyal, Durga Jethava

Page no : 313-318

Abstract : Background: Spinal anesthesia is an attractive choice for ambulatory surgery of the lower abdomen and lower limbs but it requires a local anesthetic agent of short duration with minimal side effects.We compare the effect of intrathecal chloroprocaine with fentanyl to bupivacaine with fentanyl in ambulatory urology surgery. Materials and Methods: Hundred patients aged 18 – 60 years undergoing ambulatory urology surgery randomly divided into two groups of 50 each. Group A received 40 mg of 1% chloroprocaine with 20mcg fentanyl and group B received 7.5 mg of 0.5% bupivacaine and 20mcg fentanyl. Sensory and motor block characteristics, time to ambulation, void and time for ready to discharge from hospital were recorded. Results: There was no difference in terms of demographic data and duration of surgery. Peak sensory block level was T5 in group A and T4 in group B. The mean time to reach the peak block level was similar in both groups (P=0.228). Time to two-segment regression and regression to the S2 segment were shorter in group A (P The length of stay in PACU was similar in both the groups (P=0.729). Time to ambulation, time for first void and time for ready to discharge from hospital were significantly shorter in group A compared to group B (P < 0> Conclusions: Chloroprocaine and fentanyl is a better choice for ambulatory urology surgery in comparison to low dose bupivacaine and fentanyl. Keywords: Chloroprocaine, Bupivacaine, Fentanyl, Ambulatory, Urology surgery.