424921

Hyperbaric Prilocaine 2% Versus Hyperbaric Bupivacaine 0.5% for Spinal Anaesthesia in Children Undergoing Lower Abdominal Surgeries

Article

Last updated: 04 May 2025

Subjects

-

Tags

Surgery ·

Abstract

Background: Spinal anesthesia provides a secure and dependable anesthetic approach for children undergoing lower abdominal surgeries. A quick onset of motor and sensory block, predictable rate of regression and minimal incidence of side effects are all characteristics of the ideal spinal anesthetic agent. The aim of this study was to compare spinal anesthesia using hyperbaric prilocaine 2% and hyperbaric bupivacaine 0.5% for children undergoing lower abdominal surgery. Methods: This study was conducted at Beni-Suef University Hospital on 50 patients. The patients were divided randomly into two equal groups; group A: received bupivacaine hydrochloride 0.5% and group B: received prilocaine Hydrochloride 2%. Demographic data, vital parameters, sensory‑motor block characteristics, and complications were noted. Results: Our study showed there was a highly significant difference regarding the block characteristics, where Prilocaine Group shows faster block onset time than Bupivacaine Group. Time to return to Bromage 0 was significantly shorter in Prilocaine Group than in Bupivacaine Group. Also; There was a significant longer recovery time, ambulation time and time of voiding of urine in the bupivacaine group than the prilocaine group. Conclusions: The present study shows that in children undergoing lower abdominal surgeries, Hyperbaric prilocaine provides faster onset time, shorter duration of action than bupivacaine. In addition, prilocaine showed less time for ambulation and voiding of urine with minimal side effects.

DOI

10.21608/ejmr.2024.249002.1494

Keywords

Lower Abdominal Surgeries, Spinal anaesthesia, prilocaine, Bupivacaine

Authors

First Name

Ahmed

Last Name

Yousef

MiddleName

Shaban

Affiliation

M.B.B.Ch, Faculty of Medicine, Beni-Suef University, Resident of Anesthesiology, Surgical Intensive Care and Pain Management ,Faculty of Medicine, Beni-Suef University

Email

ahmed.shaban408511@gmail.com

City

-

Orcid

-

First Name

Mahmoud

Last Name

Amer

MiddleName

Moustafa

Affiliation

Professor of Anesthesiology, Surgical Intensive Care and Pain Management, Faculty of Medicine, Beni-Suef University

Email

mahmoudamer_68@hotmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

AL Sharaway

MiddleName

Mustafa

Affiliation

Assistant Professor of Anesthesiology, Surgical Intensive Care and Pain Management, Faculty of Medicine, Beni-Suef University

Email

drshaarawy@gmail.com

City

-

Orcid

-

First Name

Hazem

Last Name

Hussein

MiddleName

Abdelwahab

Affiliation

Lecturer of Anesthesiology, Surgical Intensive Care and Pain Management, Faculty of Medicine, Beni-Suef University

Email

hazembrrar@gmail.com

City

-

Orcid

-

Volume

6

Article Issue

2

Related Issue

55168

Issue Date

2025-04-01

Receive Date

2023-11-15

Publish Date

2025-04-01

Page Start

45

Page End

62

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_424921.html

Detail API

http://journals.ekb.eg?_action=service&article_code=424921

Order

424,921

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

Hyperbaric Prilocaine 2% Versus Hyperbaric Bupivacaine 0.5% for Spinal Anaesthesia in Children Undergoing Lower Abdominal Surgeries

Details

Type

Article

Created At

04 May 2025