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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2005 / Cilt: 33 - Sayı: 1

Combination of low dose hyperbaric bupivacaine and fentanyl in unilateral spinal anaesthesia

Tek taraflı spinal anestezide düşük doz hiperbarik bupivakain ve fentanil kombinasyonu

Karatmanlı Melahat EROL
Tezal Dilek SUBAŞI
Birsen EKŞİOĞLU
Ayşe HANCI
Fatih KORKMAZ
Pages
48–53
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

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Motor recovery was faster in the Group F than in Group B (p

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Objective & Hypothesis:Aim: In our study we aimed to research the effects of 5 mg hyperbaric bupivacaine with 25 µg of fentanyl and 7.5 mg hyperbaric bupivacaine on hemodynamic parameters, side effects and recovery during unilateral spinal anaesthesia.Materials and Methods: ASA I-II, 30 adult patients undergoing knee arthroscopy received randomly either 7.5 mg of 0.5 % hyperbaric bupivacaine (Group B, 1.5 mL) or 5 mg of 0.5 % hyperbaric bupivacaine with the addition of 25 µg fentanyl (Group F, 1 5 mL) intrathecally at the L3-4 interspace within 80 sec.
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Key Findings & Data:A lateral decubitus position was maintained for 15 min.
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Conclusion & Impact:Motor recovery was faster in the Group F than in Group B (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: In our study we aimed to research the effects of 5 mg hyperbaric bupivacaine with 25 µg of fentanyl and 7.5 mg hyperbaric bupivacaine on hemodynamic parameters, side effects and recovery during unilateral spinal anaesthesia.Materials and Methods: ASA I-II, 30 adult patients undergoing knee arthroscopy received randomly either 7.5 mg of 0.5 % hyperbaric bupivacaine (Group B, 1.5 mL) or 5 mg of 0.5 % hyperbaric bupivacaine with the addition of 25 µg fentanyl (Group F, 1 5 mL) intrathecally at the L3-4 interspace within 80 sec. A lateral decubitus position was maintained for 15 min. The sensory block was assessed by using cold test and motor block was evaluated by a modified Bromage scale. Haemodynamic values, Sp02, levels of sensory and motor block, two segment regression of sensory level, complete recovery of motor block on the surgical side and peroperative/postoperative side effects were recorded.Results: No difference was seen in terms of spread, duration and two segment regression of sensorial block, and complications between the groups. Motor recovery was faster in the Group F than in Group B (p

Özet

Amaç: Çalışmamızda tek taraflı spinal anestezide 5 mg hiperbarik bupivakain ve 25 µg fentanil kombinasyonu ile 7.5 mg hiperbarik bupivakainin hemodinami, komplikasyonlar ve derlenme üzerine etkilerini araştırmayı amaçladık.Gereç ve Yöntem: Bu çalışmada, ASA I-II grubu, günübirlik artroskopik diz cerrahisi uygulanacak 30 erişkin olguya, rasgele 7.5 mg % 0.5 hiperbarik bupivakain (Grup B, 1.5 mL) veya 5 mg % 0.5 hiperbarik bupivakain + 25 µg fentanil (Grup F, 1.5 mL) intratekal olarak 80 sn. içinde L3-4 mesafesinden verildi. Lateral pozisyon 15 dk. korundu. Duyusal blok; soğuk testi ve motor blok; modifiye Bromage skalası ile değerlendirildi Hemodinamik değerler, SpO2, cerrahi uygulanacak tarafta motor ve duyusal blok seviyeleri, duyusal bloğun iki dermatom gerilemesi, motor bloğun ortadan kalkması ile peroperatif/postoperatif yan etkiler kaydedildi.Bulgular: Duyusal bloğun yayılımı, süresi ve iki dermatom gerilemesi ile komplikasyonlarda gruplar arasında fark görülmedi. Motor bloğun ortadan kalkması Grup F'de daha hızlı bulundu (p

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Cite This Article

EROL, K. M., SUBAŞI, T. D., EKŞİOĞLU, B., HANCI, A., KORKMAZ, F. (2022). Combination of low dose hyperbaric bupivacaine and fentanyl in unilateral spinal anaesthesia. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 33 - Sayı: 1, 48–53. https://ajindex.com/articles/620117

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