Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic Surgery
Objective: To evaluate the effects of two different spinal isobaric levobupivacaine doses on spinal anesthesia characteristics and to find the minimum effective dose for surgery in patients undergoing transurethral resection (TUR) surgery.Materials and Methods: Fifty male patients undergoing TUR sur...
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| Format: | Article |
| Language: | English |
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AVES
2011-08-01
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| Series: | Eurasian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.eajm.org/text.php3?id=397 |
| _version_ | 1797906587893891072 |
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| author | Secil Dizman Gurkan Turker Alp Gurbet Elif Basagan Mogol Suat Turkcan Ziyaatin Karakuzu |
| author_facet | Secil Dizman Gurkan Turker Alp Gurbet Elif Basagan Mogol Suat Turkcan Ziyaatin Karakuzu |
| author_sort | Secil Dizman |
| collection | DOAJ |
| description | Objective: To evaluate the effects of two different spinal isobaric levobupivacaine doses on spinal anesthesia characteristics and to find the minimum effective dose for surgery in patients undergoing transurethral resection (TUR) surgery.Materials and Methods: Fifty male patients undergoing TUR surgery were included in the study and were randomized into two equal groups: Group LB10 (n=25): 10 mg 0.5% isobaric levobupivacaine (2 ml) and Group LB15 (n=25): 15 mg 0.75% isobaric levobupivacaine (2 ml). Spinal anesthesia was administered via a 25G Quincke spinal needle through the L3-4 intervertebral space. Sensorial block levels were evaluated using the ‘pin-prick test’, and motor block levels were evaluated using the ‘Bromage scale’. The sensorial and motor block characteristics of patients during intraoperative and postoperative periods and recovery time from spinal anesthesia were evaluated.Results: In three cases in the Group LB10, sensorial block did not reach the T10 level. Complete motor block (Bromage=3) did not occur in eight cases in the Group LB10 and in five cases in the Group LB15. The highest sensorial dermatomal level detected was higher in Group LB15. In Group LB15, sensorial block initial time and the time of complete motor block occurrence were significantly shorter than Group LB10. Hypotension was observed in one case in Group LB15. No significant difference between groups was detected in two segments of regression times: the time to S2 regression and complete sensorial block regression time. Complete motor block regression time was significantly longer in Group LB15 than in Group LB10 (p<0.01).Conclusion: Our findings showed that the minimum effective spinal isobaric levobupivacaine dose was 10 mg for TUR surgery. |
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| format | Article |
| id | doaj.art-3b4b3554bdaf4afeb757f3e149cce0b0 |
| institution | Directory Open Access Journal |
| issn | 1308-8734 1308-8742 |
| language | English |
| last_indexed | 2024-04-10T10:23:05Z |
| publishDate | 2011-08-01 |
| publisher | AVES |
| record_format | Article |
| series | Eurasian Journal of Medicine |
| spelling | doaj.art-3b4b3554bdaf4afeb757f3e149cce0b02023-02-15T16:21:30ZengAVESEurasian Journal of Medicine1308-87341308-87422011-08-014302103108Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic SurgerySecil DizmanGurkan TurkerAlp GurbetElif Basagan MogolSuat TurkcanZiyaatin KarakuzuObjective: To evaluate the effects of two different spinal isobaric levobupivacaine doses on spinal anesthesia characteristics and to find the minimum effective dose for surgery in patients undergoing transurethral resection (TUR) surgery.Materials and Methods: Fifty male patients undergoing TUR surgery were included in the study and were randomized into two equal groups: Group LB10 (n=25): 10 mg 0.5% isobaric levobupivacaine (2 ml) and Group LB15 (n=25): 15 mg 0.75% isobaric levobupivacaine (2 ml). Spinal anesthesia was administered via a 25G Quincke spinal needle through the L3-4 intervertebral space. Sensorial block levels were evaluated using the ‘pin-prick test’, and motor block levels were evaluated using the ‘Bromage scale’. The sensorial and motor block characteristics of patients during intraoperative and postoperative periods and recovery time from spinal anesthesia were evaluated.Results: In three cases in the Group LB10, sensorial block did not reach the T10 level. Complete motor block (Bromage=3) did not occur in eight cases in the Group LB10 and in five cases in the Group LB15. The highest sensorial dermatomal level detected was higher in Group LB15. In Group LB15, sensorial block initial time and the time of complete motor block occurrence were significantly shorter than Group LB10. Hypotension was observed in one case in Group LB15. No significant difference between groups was detected in two segments of regression times: the time to S2 regression and complete sensorial block regression time. Complete motor block regression time was significantly longer in Group LB15 than in Group LB10 (p<0.01).Conclusion: Our findings showed that the minimum effective spinal isobaric levobupivacaine dose was 10 mg for TUR surgery.http://www.eajm.org/text.php3?id=397LevobupivacaineSpinal anesthesiaTransurethral surgery |
| spellingShingle | Secil Dizman Gurkan Turker Alp Gurbet Elif Basagan Mogol Suat Turkcan Ziyaatin Karakuzu Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic Surgery Eurasian Journal of Medicine Levobupivacaine Spinal anesthesia Transurethral surgery |
| title | Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic Surgery |
| title_full | Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic Surgery |
| title_fullStr | Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic Surgery |
| title_full_unstemmed | Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic Surgery |
| title_short | Comparison of Two Different Doses of Intrathecal Levobupivacaine for Transurethral Endoscopic Surgery |
| title_sort | comparison of two different doses of intrathecal levobupivacaine for transurethral endoscopic surgery |
| topic | Levobupivacaine Spinal anesthesia Transurethral surgery |
| url | http://www.eajm.org/text.php3?id=397 |
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