دورية أكاديمية

A comparison of different densities of levobupivacaine solutions for unilateral spinal anaesthesia

التفاصيل البيبلوغرافية
العنوان: A comparison of different densities of levobupivacaine solutions for unilateral spinal anaesthesia
المؤلفون: Özgür Yagan, Nilay Tas, Ahmet Küçük, Volkan Hanci
المصدر: Revista Brasileira de Anestesiologia, Vol 66, Iss 2, Pp 157-164 (2016)
بيانات النشر: Sociedade Brasileira de Anestesiologia, 2016.
سنة النشر: 2016
المجموعة: LCC:Anesthesiology
مصطلحات موضوعية: Levobupivacaína hiperbárica, Raquianestesia unilateral, Artroscopia do joelho, Anesthesiology, RD78.3-87.3
الوصف: ABSTRACT BACKGROUND AND OBJECTIVES: The aim of the study was to compare the block characteristics and clinical effects of dextrose added to levobupivacaine solutions at different concentrations to provide unilateral spinal anaesthesia in lower extremity surgery. METHODS: This prospective, randomised, double-blind study comprised 75 ASA I-II risk patients for whom unilateral total knee arthroscopy was planned. The patients were assigned to three groups: in Group I, 60 mg dextrose was added to 7.5 mg of 0.5% levobupivacaine, in Group II, 80 mg and in Group III, 100 mg. Spinal anaesthesia was applied to the patient in the lateral decubitus position with the operated side below and the patient was kept in position for 10 min. RESULTS: The time for the sensorial block to achieve T12 level was slower in Group I than in Groups II and III (p < 0.05, p< 0.00). The time to full recovery of the sensorial block was 136 min in Group I, 154 min in Group II and 170 min in Group III. The differences were statistically significant (p < 0.05). The mean duration of the motor block was 88 min in Group I, 105 min in Group II, and 139 min in Group III and the differences were statistically significant (p < 0.05). The time to urination in Group I was statistically significantly shorter than in the other groups (p < 0.00). CONCLUSIONS: The results of the study showed that together with an increase in density, the sensory and motor block duration was lengthened. It can be concluded that 30 mg mL-1 concentration of dextrose added to 7.5 mg levobupivacaine is sufficient to provide unilateral spinal anaesthesia in day-case arthroscopic knee surgery.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Spanish; Castilian
Portuguese
تدمد: 1806-907X
Relation: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000200157&lng=en&tlng=en; https://doaj.org/toc/1806-907X
DOI: 10.1016/j.bjane.2014.08.009
URL الوصول: https://doaj.org/article/bd360e0f0caf4eb5919e018b3a0c3bb9
رقم الأكسشن: edsdoj.bd360e0f0caf4eb5919e018b3a0c3bb9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:1806907X
DOI:10.1016/j.bjane.2014.08.009