Abstract

PINEIRO CASADO, Eduardo; DOMINGUEZ GONZALEZ, Erian Jesús; MUGUERCIA SARRACEN, Karina  and  FABRE DE ARMA, Ulises. Combination of hyperbaric bupivacaine and fentanyl as spinal anesthesia in patients with hip fracture. MEDISAN [online]. 2017, vol.21, n.3, pp. 250-257. ISSN 1029-3019.

An observational, descriptive and comparative study of 54 patients with hip fracture, assisted in the Anesthesiology service of "Saturnino Lora Torres" Teaching Clinical Surgical Provincial Hospital in Santiago de Cuba, was carried out from January, 2011 to December, 2013, aimed at evaluating the quality of the analgesia with the combinations of hyperbaric bupivacaine at 0.4% plus fentanyl. The sample was divided into 2 groups: those of the group A received hyperbaric bupivacaine at 0,4% plus fentanil; those of the group B, just received hyperbaric bupivacaine at 0,4%. It was observed that the beginning and duration time of the blockade was better in the members of group A; also, hemodynamic and respiratory variations, as well as the adverse effects showed no differences between the groups. The postoperative analgesia was higher in the first group, so this technique was effective

Keywords : spinal anesthesia; hyperbaric bupivacaine; fentanyl; hip fracture; postoperative pain; secondary health care.

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