SADDLE BLOCK WITH PETHIDINE FOR PERINEAL OPERATIONS

Open Access
Publisher Website
Google Scholar
Abstract
Saddle blockade with pethidine hydrochloride was performed in 111 patients undergoing short surgical operations on the perineum. A dose of 5% pethidine 0.5 mg kg−1 was injected to the subarachnoid space at L4–5 or L5-S1 with the patient in the sitting position. Sensory blockade was achieved in 5.28± 1.43 min. This extended to the sacrococcygeal area, perineum, buttocks and posterior surface of thighs, and was followed 1–2 min later by motor blockade. During the operation the patients were stable haemodynamicaily and no respiratory depression was recorded. Sensory blockade lasted for 141 ±26.06 min and was followed by postoperative analgesia, the mean duration of which was 301 ±98.38 min. Postoperative neurological complications were recorded in three patients (2.7%): headache alone in one, headache associated with backache in one, and leg weakness, backache, nuchal rigidity and photophobia in another. Seven patients (6.3%) complained of itching, five patients (4.5%) of nausea and vomiting and two (1.8%) developed urinary retention.

This publication has 6 references indexed in Scilit: