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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2007 / Cilt: 35 - Sayı: 2

Comparison of the effects of bupivacaine, mepivacaine and lidocaine used intrathecally in the ambulatory surgery of the lower abdomen and the extremities

Günübirlik alt batın ve ekstremite cerrahisinde intratekal bupivakain, mepivakain ve lidokainin etkilerinin karşılaştırılması

Oya HERGÜNSEL
Zafer ÇUKUROVA
Halide Fulya ULUDAĞ
Aşık Gülay EREN
Hülya LEBLEBİCİ
Metin ASLANTAY
Pages
90–95
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

In all groups, duration of motor and sensory block, time to reach the maximum dermatomal level, time of first urination and the 8 hours perioperatively observed adverse effects were evaluated.Results: Duration of motor and sensory block, and the time of first urination were significantly short in mepivacaine group (p

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Objective & Hypothesis:Aim: To find out the most appropriate local anesthetic for ambulatory surgery we compared intrathecally administered lidocaine, mepivacaine and bupivacaine.Materials and Methods: Forty-five patients in the ASA I-II groups undergoing lower abdominal and lower extremity surgery were randomly separated into three groups.
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Key Findings & Data:Following iv infusion of 500 mL saline, lumbar puncture was performed at the L2-3 intervertebral space by 24G spinal needle.
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Conclusion & Impact:In all groups, duration of motor and sensory block, time to reach the maximum dermatomal level, time of first urination and the 8 hours perioperatively observed adverse effects were evaluated.Results: Duration of motor and sensory block, and the time of first urination were significantly short in mepivacaine group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: To find out the most appropriate local anesthetic for ambulatory surgery we compared intrathecally administered lidocaine, mepivacaine and bupivacaine.Materials and Methods: Forty-five patients in the ASA I-II groups undergoing lower abdominal and lower extremity surgery were randomly separated into three groups. Following iv infusion of 500 mL saline, lumbar puncture was performed at the L2-3 intervertebral space by 24G spinal needle. The patients were given 3 mL of lidocaine 2 % in Group 1 (n=15), 3 mL of mepivacaine 1 % in Group 2 (n=15) and 3 mL of bupivacaine 0.5 % in Group 3 (n=15). Perioperatively heart rate, mean arterial blood pressure and SpO2 monitorization was done and the patients were observed until the 8th hour postoperatively. In all groups, duration of motor and sensory block, time to reach the maximum dermatomal level, time of first urination and the 8 hours perioperatively observed adverse effects were evaluated.Results: Duration of motor and sensory block, and the time of first urination were significantly short in mepivacaine group (p

Özet

Amaç: Çalışmamızda günübirlik cerrahi olgularda, rejyonal anestezi tercih edildiğinde, kullanılabilecek ideal lokal anesteziğin araştırılması amaçlandı. Lidokain, mepivakain ve bupivakain intratekal kullanılarak karşılaştırıldı.Gereç ve Yöntem: ASA I-II grubunda 45 hasta rasgele 3 gruba ayrıldı. 500 mL % 0.9 izotonik NaCl ile prehidrasyon yapılarak, birinci gruptaki olgulara (n=15, Grup 1) 3 mL % 2 lidokain, ikinci gruptaki olgulara (n=15, Grup2) 3 mL % 1 mepivakain, üçüncü gruptaki olgulara (n=15, Grup3) 3 mL % 0.5 bupivakain, L2-3 aralığından, 24 G Whitacre spinal iğne ile intratekal olarak uygulandı. Perioperatif KTA, OAB ve SpO2 periferik O2 saturasyonu ile monitorize edilen hastalar postoperatif kalp tepe atımı 8 saat süre ile izlendi. Üç grupta da motor ve duyusal blok süreleri, maksimum dermatom seviyesi ve ulaşma zamanı, ilk idrara çıkma zamanı, intraoperatif ve postoperatif 8 saatlik dönemde istenmeyen yan etkiler değerlendirildi. Postoperatif 8 saatlik gözlem döneminde komplikasyon gözlenmeyen olgular taburcu edildi.Bulgular: Grup 2'de motor blok, duyusal blok ve ilk idrara çıkma zamanı istatistiksel olarak anlamlı derecede kısa bulundu (p

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Cite This Article

HERGÜNSEL, O., ÇUKUROVA, Z., ULUDAĞ, H. F., EREN, A. G., LEBLEBİCİ, H., ASLANTAY, M. (2022). Comparison of the effects of bupivacaine, mepivacaine and lidocaine used intrathecally in the ambulatory surgery of the lower abdomen and the extremities. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 35 - Sayı: 2, 90–95. https://ajindex.com/articles/618876

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