Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience

Introduction. Various side effects and complications in the perioperative period can occur with the use of hyperbaric lidocaine and bupivacaine. Goal. Comparative presentation of the occurrence of side effects and complications of hyperbaric lidocaine and bupivacaine during spinal anesthesia in o...

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Main Authors: Ismet Suljević, Ismana Šurković, Maida Turan, Adnan Bajraktarević, Ehlimana Mušija, Omer Suljević
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2022-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/411442
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author Ismet Suljević
Ismana Šurković
Maida Turan
Adnan Bajraktarević
Ehlimana Mušija
Omer Suljević
author_facet Ismet Suljević
Ismana Šurković
Maida Turan
Adnan Bajraktarević
Ehlimana Mušija
Omer Suljević
author_sort Ismet Suljević
collection DOAJ
description Introduction. Various side effects and complications in the perioperative period can occur with the use of hyperbaric lidocaine and bupivacaine. Goal. Comparative presentation of the occurrence of side effects and complications of hyperbaric lidocaine and bupivacaine during spinal anesthesia in our patients. Methods. The study was retrospective and included 178 patients of both sexes. Patients were divided into two groups. In Group I (n-98) hyperbaric lidocaine 5% was used for spinal block. Group II (n-80) was divided into 2 subgroups, A- where hyperbaric Markain 0.5% was used (n-51), and B (n-29) where hyperbaric Sensorkain 0.75% was used. In the study, we analyzed gender, age, block onset, and complications. Results. There were 98 patients in Group I, 79 males and 19 females. There were 80 patients in Group II, 69 males and 11 females. The mean age of patients in Group I was 44.96 and in Group II 48.16 years. There was no statistically significant difference in the age of patients in both groups p> 0.05 (p = 0.2321). The occurrence of spinal block occurred significantly faster in Group I compared to group II (p <0.0001), and in subgroup B faster than in subgroup A (p <0.005). The clinical occurrence of complications and side effects during spinal anesthesia is somewhat more common in spinal block with 5% lidocaine. Conclusion. The compared incidence of adverse perioperative clinical effects and complications after administration of hyperbaric lidocaine and bupivacaine in spinal anesthesia was not statistically significant.
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spelling doaj.art-936b4349ecfd4972a65bde8857a9ae8e2024-04-15T17:58:40ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.Supplement 2222610.20471/acc.2022.61.s2.03Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our ExperienceIsmet Suljević0Ismana Šurković1Maida Turan2Adnan Bajraktarević3Ehlimana Mušija4Omer Suljević5Association for Development of Medical Researches, Sarajevo, Bosnia and HerzegovinaUniversity Clinical Center Sarajevo, Department of Thyroid Diseases and Metabolic Diseases of the Bones, Bosnia and HerzegovinaPublic Institution Health Center of Sarajevo Canton, Bosnia and HerzegovinaPublic Institution Health Center of Sarajevo Canton, Bosnia and HerzegovinaUniversity Clinical Center Sarajevo, Clinic for Cardiovascular Diseases and Rheumatism, Bosnia and HerzegovinaPublic Institution Health Center of Sarajevo Canton, Bosnia and HerzegovinaIntroduction. Various side effects and complications in the perioperative period can occur with the use of hyperbaric lidocaine and bupivacaine. Goal. Comparative presentation of the occurrence of side effects and complications of hyperbaric lidocaine and bupivacaine during spinal anesthesia in our patients. Methods. The study was retrospective and included 178 patients of both sexes. Patients were divided into two groups. In Group I (n-98) hyperbaric lidocaine 5% was used for spinal block. Group II (n-80) was divided into 2 subgroups, A- where hyperbaric Markain 0.5% was used (n-51), and B (n-29) where hyperbaric Sensorkain 0.75% was used. In the study, we analyzed gender, age, block onset, and complications. Results. There were 98 patients in Group I, 79 males and 19 females. There were 80 patients in Group II, 69 males and 11 females. The mean age of patients in Group I was 44.96 and in Group II 48.16 years. There was no statistically significant difference in the age of patients in both groups p> 0.05 (p = 0.2321). The occurrence of spinal block occurred significantly faster in Group I compared to group II (p <0.0001), and in subgroup B faster than in subgroup A (p <0.005). The clinical occurrence of complications and side effects during spinal anesthesia is somewhat more common in spinal block with 5% lidocaine. Conclusion. The compared incidence of adverse perioperative clinical effects and complications after administration of hyperbaric lidocaine and bupivacaine in spinal anesthesia was not statistically significant.https://hrcak.srce.hr/file/411442Spinal anesthesiaLidocaineBupivacainePerioperative complications
spellingShingle Ismet Suljević
Ismana Šurković
Maida Turan
Adnan Bajraktarević
Ehlimana Mušija
Omer Suljević
Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience
Acta Clinica Croatica
Spinal anesthesia
Lidocaine
Bupivacaine
Perioperative complications
title Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience
title_full Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience
title_fullStr Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience
title_full_unstemmed Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience
title_short Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience
title_sort clinical effects of hyperbaric lidocaine and bupivacaine in spinal anesthesia our experience
topic Spinal anesthesia
Lidocaine
Bupivacaine
Perioperative complications
url https://hrcak.srce.hr/file/411442
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