ArticleIndian journal of anaesthesia2026
Comparison of effectiveness and safety of spinal anaesthesia with 0.25% versus 0.5% hyperbaric bupivacaine for endoscopic urological procedures: A prospective randomised controlled trial.
Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Background and Aims: Spinal anaesthesia is an effective alternative technique for short-duration endoscopic urological procedures. Conventional 0.5% hyperbaric bupivacaine may be associated with prolonged motor blockade and haemodynamic instability, potentially delaying ambulation and discharge. This study aimed to compare the efficacy and safety of 0.25% and 0.5% hyperbaric bupivacaine for spinal anaesthesia in ambulatory endoscopic urological procedures. Methods: In this prospective, randomised, double-blind controlled study, 60 patients with American Society of Anesthesiologists physical status I and II undergoing elective lower urological endoscopic procedures were allocated into two groups ( Results: The onset of sensory block was faster and the duration of sensory and motor block was significantly longer in Group B ( Conclusion: Low-dose 0.25% hyperbaric bupivacaine provides effective spinal anaesthesia with improved haemodynamic stability, earlier ambulation, and faster recovery compared to 0.5% hyperbaric bupivacaine, making it suitable for ambulatory endoscopic urological procedures.
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