EFFECT OF DIABETES MELLITUS ON SPINAL ANESTHESIA FAILURE

İBRAHIM ÖZTÜRK¹, BULENT KILIC², MURAT DEMIROGLU³, HÜSEYIN ALP ALPTEKIN⁴, DILEK YAZICIOĞLU⁴, EYLEM OĞUZ⁴, İLKAY BARAN⁴, GÖZDE BUMIN AYDIN⁴, SELEN ÖZTÜRK⁵, ZEYNEP NUR ORHON¹

¹Department of Anesthesiology and Reanimation, Göztepe Education and Research Hospital, Medeniyet University, Istanbul, Turkey - ²Istanbul Gelisim University, Department of Health Sciences, Orthopaedic surgeon, Istanbul, Turkey - ³Istanbul Medeniyet University, Goztepe Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey - ⁴Department of Anesthesiology and Reanimation, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey - ⁵Dr. Siyami Ersek Thorax, Heart and Vascular Surgery Research Hospital Istanbul, Turkey

Introduction: Spinal anesthesia (SA) is a commonly performed regional anesthesia technique in current practice. Failure of SA is observed depending different causes. We aimed to search the relationship between diabetes mellitus (DM) and SA failure. We hypothesized that DM could affect the success of SA.

Methods: A total of 1032 patients were included to the study. Spinal anesthesia failure was defined as absence of sensory block according to ‘pin-prick test’ examination despite injection of local anesthetics after free flow of cerebrospinal fluid (CSF) and Bromage scale 4 (able to move hip, knee and ankle).

Results: When we analysed the demographical data between successful and failed patients, no significant differences were observed (p>0.05) And also there was no difference for surgical type, puncture level, presence of DM and glucose level (p>0.05).

Conclusion: We concluded that DM and also demographical variables such as age, height, weight and gender were not the possible risk factors for complete failure spinal anesthesia.