Comparison of Hemodynamic Effects of Bupivacaine in Spinal Anesthesia

Comparison of Hemodynamic Effects of Fractionated Dose Versus Bolus Dose of Hyperbaric Bupivacaine (0.5%) in Spinal Anesthesia for Lower Limb Surgery

To assess hemodynamic changes with hyperbaric bupivacaine with spinal anesthesia

Assesment of hemodynamic changes like heart rate and blood pressure with hyperbaric bupivacaine in spinal anesthesia when given in fractionanted versus bolus dose manner

Inclusion Criteria:

• ASA I and II
• Adults 18 to 60 years of age of either gender
• height from 160 to 182cm and BMI from 15 to 29.9kg/m2

Exclusion Criteria:

• ASA III and IV
• Refusal of consent
• any known renal, hepatic, cardiac or cerebrovascular disease
• hypersensitivity to local anaesthetics drug
• spinal deformity or any contra indications to spinal anesthesia