AI Summary & Key Takeaways
AI InsightIn Group F, two segment regression time of upper levels of sensory block and regression time of motor block to Bromage 0 level was significantly shorter than Group R (p
📌 3 Key Takeaways
Abstract
Aim: In this prospective randomized study we aimed to evaluate effects of plain levobupivacaine’s temperature on spread of spinal anaesthesia. Material and Method: A total of 60 patients among ASA I-III risk group were randomized into two groups. Routine monitorization is applied after preloading of 5 mL kg-1 with 0.9 % NaCl solution. In Group R, 15 mg plain levobupivacaine in room temperature, in Group F, same dose plain levobupivacaine in 4 degrees (°C) were given intrathecally within 60 seconds. Blood pressures, heart rates, SpO2, maximal sensorial blockade level, time to maximal cephalad spread, maximum motor blockade levels and adverse effects were recorded. Results: In Group R, maximum sensory level, time needed to reach maximum sensory level of the spinal block and time needed to reach the maximum motor block was significantly shorter than Group F. Also in Group R, at 5, 10, 20, 30, 40, 50, 60, 90, 120, 150 and 180 minutes, sensorial block level was significantly higher than Group F. With respect to the frequency of observing motor block, statistically significant difference was present between Group R and Group F. In Group F, two segment regression time of upper levels of sensory block and regression time of motor block to Bromage 0 level was significantly shorter than Group R (p
Özet
Amaç: Prospektif ve randomize olarak planlanan bu çalışmada, spinal anestezi yayılımı üzerine, izobarik levobupivakainin sıcaklığının etkilerinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: ASA I-III risk grubunda yer alan, toplam 60 hasta randomize olarak iki gruba ayrıldı. Rutin monitörizasyonun ardından tüm hastalara 5 mL kg-1 % 0,9 serum fizyolojik ile ön yükleme yapıldı. Grup R’de yer alan hastalara, oda sıcaklığında 15 mg izobarik levobupivakain, Grup F’de yer alan hastalara ise aynı dozda ve 4 derecede (°C), levobupivakain intratekal olarak 60 saniye içerisinde verildi. Kan basıncı, kalp atım hızı, SpO2, maksimum sensoriyal blok düzeyi, maksimum motor blok düzeyi, maksimum sensoriyal ve motor blok için gereken süreler ve yan etkiler kayıt edildi. Bulgular: Grup R’de maksimum sensoriyal düzey, maksimum sensoriyal ve motor bloğa ulaşılması için gereken süre, Grup F’ye göre anlamlı olarak kısa bulundu (p