Background. Orthopedic procedures are among the commonest surgeries in the elderly. On the other hand, those patients have\nmany risk factors suitable for development of postoperative complication due to prolonged postoperative recumbent that decrease\nby using anesthesia technique allowed early ambulation as far as possible. Aim of the Work.The aim of this study was to evaluate\nwhether washout of the local anesthesia with 0.9% normal saline with bicarbonate through the epidural catheter could provide early\nambulation throughout the faster recovery of the motor block. Patient and Methods. Sixty adult patients were included in this study\nand divided into three groups. In group I, epidural injection of bupivacaine was carried out without wash (control group). In group\nII, epidural injection of bupivacaine was followed by wash. In group III, epidural injection of both bupivacaine and nalbuphine\nwas followed by wash. Results.They were significantly faster in both group II and group III as compared with group I. In group I,\nsensory recovery was insignificantly faster than the motor recovery. In group II motor recovery was significantly faster than sensory\nrecovery. In group III motor recovery was significantly faster than the sensory recovery. Conclusions.These results suggested that\nearly ambulation with an adequate postoperative analgesia was reported in patient receiving epidural injection of both bupivacaine\nand nalbuphine.
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