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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2004 / Cilt: 32 - Sayı: 3

Articaine addition to bupivacaine accelerates sensorial block onset during epidural anaesthesia

Epidural anestezide bupivakaine artikain ilavesi duyusal blok başlangıcını hızlandırmaktadır

Erdal KARAHAN
Berit Gökçe CEYLAN
Çağrı ERGİN
Füsun EROĞLU
Ayşegül UÇAR
Pages
193–199
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

By using non-invasive methods, systolic and diastolic arterial pressures, heart rate and peripheral oxygen saturations were measured within 5 min intervals during 80 min after epidural anesthesia and 20 min intervals between 80 and 120 minutes.Sensorial block onset time, time to the highest sensorial block dermatome and the time from anesthetic administration to the beginning of the operation was found significantly shorter in group I (p

📌 3 Key Takeaways

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Objective & Hypothesis:In this study we aimed to reduce sensorial block onset time by adding articaine to bupivacaine for epidural anaesthesia.Epidural catheter was introduced through L4-5 intervertebral space to 40 adult ASA I-II patients.
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Key Findings & Data:Group II only received (n=20) 0.5 % bupivacaine 1 mg kg-1 while 0.5 % bupivacaine 0.5 mg kg-1 + 2 % articaine 2 mg kg-1 in group I (n=20) patients.
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Conclusion & Impact:By using non-invasive methods, systolic and diastolic arterial pressures, heart rate and peripheral oxygen saturations were measured within 5 min intervals during 80 min after epidural anesthesia and 20 min intervals between 80 and 120 minutes.Sensorial block onset time, time to the highest sensorial block dermatome and the time from anesthetic administration to the beginning of the operation was found significantly shorter in group I (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In this study we aimed to reduce sensorial block onset time by adding articaine to bupivacaine for epidural anaesthesia.Epidural catheter was introduced through L4-5 intervertebral space to 40 adult ASA I-II patients. Group II only received (n=20) 0.5 % bupivacaine 1 mg kg-1 while 0.5 % bupivacaine 0.5 mg kg-1 + 2 % articaine 2 mg kg-1 in group I (n=20) patients. Sensorial block onset time, the highest sensorial block dermatome and time to highest sensorial block, the two-dermatome regression time, motor block degree were investigated. By using non-invasive methods, systolic and diastolic arterial pressures, heart rate and peripheral oxygen saturations were measured within 5 min intervals during 80 min after epidural anesthesia and 20 min intervals between 80 and 120 minutes.Sensorial block onset time, time to the highest sensorial block dermatome and the time from anesthetic administration to the beginning of the operation was found significantly shorter in group I (p

Özet

Bu çalışmada bupivakaine artrikain ekleyerek duyusal blok başlama süresini kısaltmayı amaçladık.ASA I-II grubuna giren 40 yetişkin olguya L4-5 aralığından epidural kateter yerleştirildi. Grup I (n=20) olgulara % 0.5 bupivakain 0.5 mg kg-1 + % 2 artikain 2 mg kg-1, grup II (n=20) olgulara sadece % 0.5 bupivakainden 1 mg kg-1 uygulandı. Duyusal bloğun başlama süresi, duyusal bloğun en yüksek gerçekleştiği dermatom ve dermatoma ulaşma süresi, duyusal bloğun en yüksek dermatomdan iki dermatom gerileyinceye kadar geçen süre ve motor bloğun derecesi belirlendi. Hastaların non-invaziv yöntem ile sistolik ve diyastolik arter basıncı, kalp atım hızı ve periferik oksijen satürasyonu değerleri epidural enjeksiyonu takiben 80 dk. süreyle 5 dk. ara ile, 80. dk.'dan 120. dk.'ya kadar 20 dk. ara ile kaydedildi.Duyusal blok başlama süresi, duyusal bloğun en yüksek dermatoma ulaşma süresi, ilaç uygulanmasından ameliyatının başlamasına kadar geçen süre grup I olgularda anlamlı düzeyde kısa bulundu (p

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Cite This Article

KARAHAN, E., CEYLAN, B. G., ERGİN, Ç., EROĞLU, F., UÇAR, A. (2022). Articaine addition to bupivacaine accelerates sensorial block onset during epidural anaesthesia. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 32 - Sayı: 3, 193–199. https://ajindex.com/articles/620167

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