Effect of position changes after spinal anesthesia with low-dose bupivacaine in elderly patients: sensory block characteristics and hemodynamic changes / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 234-239, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-49137
ABSTRACT
BACKGROUND:
The purpose of this study is to compare the anesthetic characteristics in elderly patients who remain in sitting position for 2 min compared with patients that are placed in supine position after induction of spinal anesthesia.METHODS:
Fifty-seven patients scheduled for transurethral surgery were randomized to assume supine position immediately after 6.5 mg hyperbaric bupivacaine were injected (L group) or to remain in the sitting position for 2 minutes before they also assumed the supine position (S group). Analgesic levels were assessed bilaterally, using pin-prick. Motor block was scored using a 12-point scale. The mean arterial pressure and heart rate were also recorded.RESULTS:
Sensory block levels were significantly lower at all time points for the L group. However, there were no significant differences in the degree of the motor block and hemodynamic changes between the two groups. However, in the L group, ephedrine or atropine were administered to three patients.CONCLUSIONS:
We concluded that performing a spinal anesthesia in sitting position was technically easier and induced less hypotension.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Atropina
/
Bupivacaína
/
Decúbito Dorsal
/
Efedrina
/
Pressão Arterial
/
Frequência Cardíaca
/
Hemodinâmica
/
Hipotensão
/
Raquianestesia
Tipo de estudo:
Ensaio Clínico Controlado
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2013
Tipo de documento:
Artigo
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