Journal of AdvancedMedical and Dental Sciences Research

Background: This study was conducted to assess the Comparison between spinal, combined spinal-epidural and continuous spinal anaesthesia for hip surgeries in elderly patients. Material and methods: Over a 4-year period, the anaesthetic records of three groups of 100 patients were analysed: those who received spinal anaesthesia alone (Group 1), those who had a combination spinal-epidural block (Group 2), and those who received continuous spinal anaesthesia (Group 3). All blockades were done with the patient lying on their left side. Success of the puncture, deepest level of analgesia achieved, lower limb motor block, quality of anaesthesia, need for additional doses, incidence of failures, paraesthesia, post-dural puncture headache, cardiovascular abnormalities, mental disorientation and delirium, blood transfusion, and death were all factors taken into account. Results: The average bupivacaine dose in group 1 was 18.69 mg, in group 2 it was 27.41 mg, and in group 3 it was 9.48 mg. Comparing groups 1 and 3, group 2 patients were noticeably shorter. The cephalad dispersion of patients under continuous spinal vs those under mixed spinal-epidural anaesthesia differed significantly (p< 0.01) across groups 1, 2, and 3. Arterial hypotension, bradycardia, paraesthesia, and the need for a blood transfusion were not significantly different between the two groups. Fourteen individuals experienced postoperative mental disorientation. The risk of death during the first postoperative week or month was the same. Conclusion: There exists a correlation between the use of regional anaesthetic procedures and a reduced risk of complications during the first postoperative month.