الفهرس | Only 14 pages are availabe for public view |
Abstract Summary The current study was carried out in Department of Anaesthesia, General surgical unit, in Tanta University Hospital, on 100 patients, ASA physical status I & II scheduled for elective haemorrhoidectomy under saddle block with pudendal nerve block as postoperativeanalgesia. Patients were randomly allocated into two groups, group I(received 5ml bupivacaine 0.5% with 5ml normal saline each side in the block)& group II (given5ml bupivacaine0.5% with 5ml normal saline containing ketamine 0.5mg/kg each side in the block) 50 patients each. After approval from the Local Ethical Committee and all patients had informed written consent of the study. All patients divided into two equal groups patients each according to anaesthesia induction: A spinal anesthesia with 1.0 mL hyperbaric bupivacaine 0.5% with a 25-gauge Whitacre pencil-point needle inserted between the lumbar intervertebral space 4/5 under aseptic conditions. group I: received Ultrasound guided pudendal nerve block on both sides using 10 ml volume each side (5 ml bupivacaine 0.5% and 5 ml normal saline ) after saddle block. group II: Received Ultrasound guided pudendal nerve block on both sides using 10 ml volume each side (5 ml bupivacaine 0.5% and 5 ml normal saline containg ketamine 0.5mg/kg) after saddle block. |