Comparison of thoracic segmental spinal anaesthesia and lumbar spinal anaesthesia for percutaneous nephrolithotomy Article Swipe
Geetanjali Singhal
,
Swati Choudhary
,
Arun Kumar Saxena
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.18203/2320-6012.ijrms20233390
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.18203/2320-6012.ijrms20233390
Background: This study aimed to compare the feasibility and safety of low thoracic segmental spinal anesthesia (TSSA) and conventional lumbar spinal anesthesia (LSA) in percutaneous nephrolithotomy (PCNL). Methods: Sixty adult patients undergoing elective PCNL were randomly assigned to two groups: T (TSSA) and L (LSA). Group T received TSSA (isobaric ropivacaine 0.75% 2.5 ml with dexmedetomidine 6mcg) at T10-T12, while Group L received LSA (hyperbaric ropivacaine 0.75% 4 ml with dexmedetomidine 6mcg) at L2-L4. Primary objectives included assessing hemodynamic changes, block onset, and duration, and adverse effects. Secondary objectives were time to rescue analgesia, patient, and surgeon satisfaction. Data was analyzed using SPSS. Results: All patients underwent surgery successfully under neuraxial anesthesia. Group T exhibited more stable hemodynamics with a significantly lower hypotension incidence compared to Group L (3.33% vs. 26.66%, p=0.03). Onset of sensory and motor block was quicker in the TSSA group (p<0.001). Sensory block levels were T6 for both groups, but TSSA affected levels L2 and L3, while LSA impacted all segments below T6. No neurological complications occurred, particularly in Group T, which had higher satisfaction scores from surgeons and patients. Conclusions: TSSA is a safe and effective option for PCNL, providing better hemodynamic stability and reducing intra-operative hypotension compared to conventional LSA.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.18203/2320-6012.ijrms20233390
- https://www.msjonline.org/index.php/ijrms/article/download/12750/8231
- OA Status
- diamond
- Cited By
- 2
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4388087183
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4388087183Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.18203/2320-6012.ijrms20233390Digital Object Identifier
- Title
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Comparison of thoracic segmental spinal anaesthesia and lumbar spinal anaesthesia for percutaneous nephrolithotomyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-10-30Full publication date if available
- Authors
-
Geetanjali Singhal, Swati Choudhary, Arun Kumar SaxenaList of authors in order
- Landing page
-
https://doi.org/10.18203/2320-6012.ijrms20233390Publisher landing page
- PDF URL
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https://www.msjonline.org/index.php/ijrms/article/download/12750/8231Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
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https://www.msjonline.org/index.php/ijrms/article/download/12750/8231Direct OA link when available
- Concepts
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Medicine, Ropivacaine, Dexmedetomidine, Anesthesia, Percutaneous nephrolithotomy, Lumbar, Hemodynamics, Incidence (geometry), Spinal anesthesia, Adverse effect, Percutaneous, Surgery, Internal medicine, Sedation, Optics, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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22Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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