DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIAS

Under spinal anesthesia, different types of nerve fibers forming spinal nerve roots are unequally blocked. Objective: to estimate differences in the development of temperature, sensory, and motor blockades when performing different procedures of spinal anesthesia. This prospective study covered 70 p...

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Main Author: R. E. Lakhin
Format: Article
Language:Russian
Published: New Terra Publishing House 2017-11-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/6
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author R. E. Lakhin
author_facet R. E. Lakhin
author_sort R. E. Lakhin
collection DOAJ
description Under spinal anesthesia, different types of nerve fibers forming spinal nerve roots are unequally blocked. Objective: to estimate differences in the development of temperature, sensory, and motor blockades when performing different procedures of spinal anesthesia. This prospective study covered 70 patients undergoing different operations. In accordance with the procedure of spinal anesthesia, the patients were divided into classical (n = 35) and unilateral spinal anesthesia (n = 35) groups. The performed study has indicated that blockade of temperature fibers occurs, and first, next is that of sensory neurons, and at last motor ones. The latent period of temperature blockade is about 1 min and that is an early predictor of evolving sensory block. At all stages and under traditional and unilateral spinal anesthesias, the width of temperature blockade was 1–2 segments higher than that of sensory blockade. The lower bupivacaine dosage used with the unilateral procedure gave rise to even greater block differentiation. Sensory anesthesia developed more slowly, but motor blockage did fully in not all cases.
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spelling doaj.art-6d883aa5c5dd4cfaa669d9917caff5a42023-09-03T14:32:54ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532017-11-01121293310.21292/2078-5658-2015-12-1-29-336DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIASR. E. Lakhin0ФГБВОУ ВПО «Военно-медицинская академия имени С. М. Кирова», г. Санкт-ПетербургUnder spinal anesthesia, different types of nerve fibers forming spinal nerve roots are unequally blocked. Objective: to estimate differences in the development of temperature, sensory, and motor blockades when performing different procedures of spinal anesthesia. This prospective study covered 70 patients undergoing different operations. In accordance with the procedure of spinal anesthesia, the patients were divided into classical (n = 35) and unilateral spinal anesthesia (n = 35) groups. The performed study has indicated that blockade of temperature fibers occurs, and first, next is that of sensory neurons, and at last motor ones. The latent period of temperature blockade is about 1 min and that is an early predictor of evolving sensory block. At all stages and under traditional and unilateral spinal anesthesias, the width of temperature blockade was 1–2 segments higher than that of sensory blockade. The lower bupivacaine dosage used with the unilateral procedure gave rise to even greater block differentiation. Sensory anesthesia developed more slowly, but motor blockage did fully in not all cases.https://www.vair-journal.com/jour/article/view/6спинальная анестезиясенсорнаятемпературная блокадабупивакаинлатентный периодspinal anesthesiasensorytemperature blockadebupivacainelatent period
spellingShingle R. E. Lakhin
DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIAS
Вестник анестезиологии и реаниматологии
спинальная анестезия
сенсорная
температурная блокада
бупивакаин
латентный период
spinal anesthesia
sensory
temperature blockade
bupivacaine
latent period
title DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIAS
title_full DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIAS
title_fullStr DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIAS
title_full_unstemmed DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIAS
title_short DIFFERENCES IN THE LEVEL OF TEMPERATURE, SENSORY, AND MOTOR BLOCKADES WHEN PERFORMING CONVENTIONAL AND UNILATERAL SPINAL ANESTHESIAS
title_sort differences in the level of temperature sensory and motor blockades when performing conventional and unilateral spinal anesthesias
topic спинальная анестезия
сенсорная
температурная блокада
бупивакаин
латентный период
spinal anesthesia
sensory
temperature blockade
bupivacaine
latent period
url https://www.vair-journal.com/jour/article/view/6
work_keys_str_mv AT relakhin differencesintheleveloftemperaturesensoryandmotorblockadeswhenperformingconventionalandunilateralspinalanesthesias