Title

Comparative evaluation of spinal versus epidural anesthesia in lower limb orthopedic surgery: Hemodynamic stability and block duration

Authors

Neetesh Gautam^1,*, Narayan Hari Sharma¹ & Irfan Khan²

Affiliation

¹Department of Anaesthesiology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India; ²Department of Anaesthesiology, Janak Hospital, Gwalior, Madhya Pradesh, India; *Corresponding author

Email

Neetesh Gautam - E-mail: neeteshgautamgrmc@gmail.com

Narayan Hari Sharma - E-mail: narayanhari.sharma@gmail.com

Irfan Khan - E-mail: khanirfan.260@gmail.com

Article Type

Research Article

Date

Received June 1, 2026; Revised June 30, 2026; Accepted June 30, 2026, Published June 30, 2026
 

Abstract

Regional anesthesia remains essential in lower limb orthopedic surgeries for providing effective intraoperative anesthetic control and post-operative analgesia with fewer systemic side effects. Therefore, it is of interest to evaluate the fifty patients undergoing elective lower limb orthopedic procedures to assess spinal versus epidural anesthesia in relation to hemodynamic stability and block duration. Twenty-five patients received hyperbaric bupivacaine via spinal route and twenty-five received bupivacaine through a lumbar epidural catheter. Spinal anesthesia demonstrated faster onset and denser surgical block but was associated with higher incidence of hypotension and bradycardia. Epidural anesthesia produced slower onset yet maintained better hemodynamic stability along with prolonged post-operative analgesia. Thus, data shows the both techniques are safe and effective, with choice guided by surgical duration, patient profile and post-operative pain management requirements.

Keywords

Spinal anesthesia, epidural anesthesia, hemodynamic stability, orthopedic surgery, block duration, post-operative analgesia

Citation

Gautam et al. Bioinformation 22(6): 3707-3711 (2026)

Edited by

Vini Mehta  

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.