ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONS
In operations of inguinal hernias, different techniques of anesthesia administration are used, but in the last years, there has been a great interest in the local-regional anesthesia, primarily in epidural. The aim of the study was to ascertain the efficiency and safety of administration of minor an...
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| Format: | Article |
| Language: | English |
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University in Nis, Faculty of Medicine
2005-12-01
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| Series: | Acta Medica Medianae |
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| Online Access: | http://publisher.medfak.ni.ac.rs/2005-html/4-broj/PRIMENA%20EPIDURALNE%20ANESTEZIJE....pdf |
| _version_ | 1818481465163251712 |
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| author | Dragana Todorović Slavko Konstatinović Radmilo Janković |
| author_facet | Dragana Todorović Slavko Konstatinović Radmilo Janković |
| author_sort | Dragana Todorović |
| collection | DOAJ |
| description | In operations of inguinal hernias, different techniques of anesthesia administration are used, but in the last years, there has been a great interest in the local-regional anesthesia, primarily in epidural. The aim of the study was to ascertain the efficiency and safety of administration of minor anesthetics’ concentrations in epidural anesthesia in operations of inguinal hernias. The assessment of patient’s stability by monitoring of vital functions included: noninvasive measuring of blood pressure, pulse, ECG, respiratory frequency and diuresis. Also, in order to assess the effect of anesthetic action of lidocaine, we followed up the onset and ending of sensory blockade, motor blockade, pain intensity during surgical intervention with the use of VAS.There was no statistically significant difference regarding the onset and ending of sensory blockade between greater (20 ml 2% lidocaine) and minor concentrations (20 ml 1,5% lidocaine) administered epidurally. However, all the examinees to whom 2% lidocaine was administered, had the motor blockade which occurred after 14,37 ±1,04 min, and was in duration of 110,45±13,20 min. Only 20% of patients to whom 1,5% lidocaine was administered had the motor blockade, in whom it occurred after 11,16± 2,02 min, and was in duration of 100,30 ±8,40 min.Systolic pressure significantly decreased between the fifth and tenth minute after 20 ml of 2% lidocaine administration compared to the group to whom 20 ml of 1,5% lidocaine was administered, with statistical significance (p<0,01). Also, we registered decrease in pulse frequency in both groups, as well as the fact that the patients to whom 20 ml of 2% lidocaine was administered, had to stay in bed longer in the postoperative period. Comparing other hemodynamic parameters, there was no statistically significant difference. We can conclude that minor concentrations of anesthetics can be efficient and safe to administer in epidural anesthesia, because they achieve adequate analgesia for a surgical intervention. The possibility of toxic symptoms’ occurrence is smaller, when compared to greater doses and concentrations of anesthetics. |
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| format | Article |
| id | doaj.art-28daa0efa8f547baa45915e7a4b85ab8 |
| institution | Directory Open Access Journal |
| issn | 0365-4478 |
| language | English |
| last_indexed | 2024-12-10T11:35:25Z |
| publishDate | 2005-12-01 |
| publisher | University in Nis, Faculty of Medicine |
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| series | Acta Medica Medianae |
| spelling | doaj.art-28daa0efa8f547baa45915e7a4b85ab82022-12-22T01:50:27ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44782005-12-014442529ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONSDragana TodorovićSlavko KonstatinovićRadmilo JankovićIn operations of inguinal hernias, different techniques of anesthesia administration are used, but in the last years, there has been a great interest in the local-regional anesthesia, primarily in epidural. The aim of the study was to ascertain the efficiency and safety of administration of minor anesthetics’ concentrations in epidural anesthesia in operations of inguinal hernias. The assessment of patient’s stability by monitoring of vital functions included: noninvasive measuring of blood pressure, pulse, ECG, respiratory frequency and diuresis. Also, in order to assess the effect of anesthetic action of lidocaine, we followed up the onset and ending of sensory blockade, motor blockade, pain intensity during surgical intervention with the use of VAS.There was no statistically significant difference regarding the onset and ending of sensory blockade between greater (20 ml 2% lidocaine) and minor concentrations (20 ml 1,5% lidocaine) administered epidurally. However, all the examinees to whom 2% lidocaine was administered, had the motor blockade which occurred after 14,37 ±1,04 min, and was in duration of 110,45±13,20 min. Only 20% of patients to whom 1,5% lidocaine was administered had the motor blockade, in whom it occurred after 11,16± 2,02 min, and was in duration of 100,30 ±8,40 min.Systolic pressure significantly decreased between the fifth and tenth minute after 20 ml of 2% lidocaine administration compared to the group to whom 20 ml of 1,5% lidocaine was administered, with statistical significance (p<0,01). Also, we registered decrease in pulse frequency in both groups, as well as the fact that the patients to whom 20 ml of 2% lidocaine was administered, had to stay in bed longer in the postoperative period. Comparing other hemodynamic parameters, there was no statistically significant difference. We can conclude that minor concentrations of anesthetics can be efficient and safe to administer in epidural anesthesia, because they achieve adequate analgesia for a surgical intervention. The possibility of toxic symptoms’ occurrence is smaller, when compared to greater doses and concentrations of anesthetics.http://publisher.medfak.ni.ac.rs/2005-html/4-broj/PRIMENA%20EPIDURALNE%20ANESTEZIJE....pdfinguinal herniaepidural anesthesiaanesthetics’ concentrations |
| spellingShingle | Dragana Todorović Slavko Konstatinović Radmilo Janković ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONS Acta Medica Medianae inguinal hernia epidural anesthesia anesthetics’ concentrations |
| title | ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONS |
| title_full | ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONS |
| title_fullStr | ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONS |
| title_full_unstemmed | ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONS |
| title_short | ADMINISTRATION OF EPIDURAL ANESTHESIA IN OPERATIONS OF INGUINAL HERNIAS – COMPARISON OF DIFFERENT ANESTHETICS’ CONCENTRATIONS |
| title_sort | administration of epidural anesthesia in operations of inguinal hernias comparison of different anesthetics concentrations |
| topic | inguinal hernia epidural anesthesia anesthetics’ concentrations |
| url | http://publisher.medfak.ni.ac.rs/2005-html/4-broj/PRIMENA%20EPIDURALNE%20ANESTEZIJE....pdf |
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