Abstract
References
- 1. Grene N. (1985) Distribution of local anesthetic solutions within the subarachnoid space. Anesth Analg, 64,715-30.
- 2. Gabbe S, Niebly J, Simpson J. (2002). Obstetric Anesthesia: Obstetrics Normal and Problem Pregnancies Fourth Edition: Churchill Livingstone Chapter 15, 431-471.
- 3. Barash P,Cullen B, Stoelting R. (2006). Clinical Anaesthesia: Obstetric Anesthesia: Fifth edition. Lippincott Williams & Wilkins Chapter 42,1152-1180.
- 4. Brizzi A, Greco F, Malsavi A, Valerio A. (2005).Comparison of sequential combined spinalepidural anesthesia and spinal anesthesia for cesarean section. Anestesia,71,701-709.
- 5. Vercauteren M, Coppejans H, Hoffmann V, Saldien V. (1998). Small-Dose hyperbaric versus plain bupivacaine during spinal anesthesia for cesarean section. Anesth Analg,86,989-93.
- 6. Sarvela J, Halonen P, Korttila K. (1999). Comparison of 9 mg of intrathecal plain and hyperbaric bupivacaine both with fentanyl for cesarean delivery. Anesth Analg ,89,1257-62.
- 7. Velde M, Schoubroeck D, Jani J, Teunkes A. (2006). Combined spinal-epidural anesthesia for cesarean delivery: Dose dependent effects of hyperbaric bupivacaine on maternal hemodynamics. Anesth Analg,103,187-90.
- 8. Mendonca C, Griffiths J, Ateleanu B, Collis R. (2003). Hypotension following combined spinalepidural anaesthesia for cesarean section. Anaesthesia,58,428-31.
- 9. Hocking G, Wildsmith J. (2004). Intrathecal drug spread. Br J Anaesth ,93,568-78.
- 10. Parlow J, Money P, Chan P, Raymond J. (1999). Addition of opioids alters the density and spread of intrathecal local anesthetics? An in vitro study. Can J Anaesth ,46:1,66-70.
- 11. Martin R, FrigonC, Chretien A, Tetrault J. (2000). Onset of spinal block is more rapid with isobaric than hyperbaric bupivacaine. Can J Anaesth,47:1,43-46.
- 12. Hallworth S, Fernando R, Columb M, Stocks G. (2005). The effect of posture and baricity on the spread of intrathecal bupivacaine for elective cesarean delivery. Anesth Analg ,100,1159-65
- 13. Connolly C,McLeod G, Wildsmith J. (2001). Spinal anaesthesia for cesarean section with bupivacaine 5 mg ml-1 in glucose 8 or 80 mg ml-1. Br J Anaesth ,86,805-7.
- 14. Küçükgüçlü S, Ünlügenç H, Günenç F, Kuvaki B. (2008). The influence of epidural volume extension on spinal block with hyperbaric or plain bupivacaine for Caesarean delivery. Eur J Anaesthesiol, 25,307-313.
- 15. Lui A, Polis T,Cicutti N. (1998). Densities of cerebrospinal fluid and spinal anaesthetic solutions in surgical patients at body temperature. Can J Anaesth,45, 297-303.
- 16. Richardson M, Wissler R. (1996). Density of lumbar cerebrospinal fluid in pregnant and nonpregnant humans. Anesthesiology,85,326-30.
- 17. Sanderson P, Read J, Littlewood D, McKeown D. (1994). Interaction between baricity (glucose concentration) and other factors influencing intrathecal drug spread. Br J Anaest,73,744-746.
- 18. Cesur M, Alıcı H, Erdem A, Börekçi B. (2008). Spinal anesthesia with sequential administration of plain and hyperbaric bupivacaine provides satisfactory analgesia with hemodynamic stability in cesarean section. Int J Obstet Anesth,17,217-22.
- 19. Connolly C, Wildsmith J. (1998). Intrathecal drug spread. Can J Anaesth,45:4, 289-92.
- 20. Hallworth S, Fernando R,Stocks G.(2002). Predicting the density of bupivacaine and bupivacaineopioid combinations. Anesth Analg,94,1621-4.
- 21. Richardson M, Collins H, Wissler R. (1998). Intrathecal Hypobaric Versus Hyperbaric Bupivacaine with Morphine for Cesarean Section. Anesth Anlg,87,336-40.
- 22. Tyagi A, Kumar A, Sethi A.K, Mohta M. (2008). Epidural Volume Extension and Intrathecal Dose Requirement: Plain Versus Hyperbaric Bupivacaine. Anesth Analg,107,333-338.
- 23. Russell IF, Holmqvist EL. (1987). Subarachnoid analgesia for caesarean section. A double-blind comparison of plain and hyperbaric 0.5% bupivacaine. Br J Anaesth,59,347-53.
- 24. Patel M, Samsoon G, Swami A, Morgan B. (1993). Posture and the spread of hyperbaric bupivacaine in parturients using the combined spinal epidural technique. Can J Anaesth,40,943-6.
- 25. Kalso E, Tuominen M, Rosenberg PH. (1982). Effect of posture and some c.s.f. characteristics on spinal anaesthesia with isobaric 0.5% bupivacaine. Br J Anaesth, 54,1179-84.
- 26. Chung C.J, Bae S.H, Chae K.Y, Chin Y.J. (1996). Spinal anaesthesia with 0.25 % bupivacaine for Caesarean section: effects of volume. Br J Anaesth,77,145-149.
- 27. Pedersen H, Santos A, Steinberg E, Schapiro H. (1989). Incidence of Visceral Pain during Cesarean Section: The Effect of Varying Doses of Spinal Bupivacaine. Anesth Anal,69,46-9.
- 28. Balki M, Carvalho J. (2005). Intraoperative nausea and vomiting during cesarean section under regional anesthesia. Int J Obstet Anesth,14,230-241.
Elektif sezaryen doğumda intratekal bupivakainin barisite ve dansitesinin maternal hemodinami ve motor blok üzerine etkisi
Abstract
Giriş: Spinal anestezi, sezaryen için en sık kullanılan bölgesel tekniktir. Spinal anestezi düzeyini bu kadar çok faktör etkilese de en önemli faktörler hastanın pozisyonu ve lokal anesteziklerin barisitesi veya dansitesidir. Bu çalışmadaki amacımız, elektif sezaryen için lokal anesteziklerin barisite ve dansitenin maternal hemodinami ve motor blok skorları üzerine etkisini değerlendirmektir.
Gereç-yöntem: Etik kurul onayı ve hasta bilgilendirilmiş onam sonrasında, Amerikan Anesteziyologlar Derneği fiziksel durumu I veya II olan ve 37 haftadan fazla tekil komplikasyonsuz gebeliği olan 90 gebe çalışmaya dahil edildi. Hastalara spinal blok için izobarik bupivakain, hiperbarik bupivakain veya izobarik ve hiperbarik bupivakain (9,4 mL hiperbarik bupivakain %0,5, 0,6 mL izobarik bupivakain %0,5) kombinasyonu verildi. Duyusal blok seviyesi ve motor blok skorları değerlendirildi.
Bulgular: Perioperatif dönemde duyusal blok düzeyleri ve motor blok skorları açısından gruplar arasında istatistiksel olarak anlamlı fark yoktu. T4 duyusal blok seviyesine ulaşma süresi, izobarik marcain grubu ile önemli ölçüde daha hızlıydı. Postoperatif dönemde motor blok iyileşmesi gruplar arasında istatistiksel olarak anlamlı değildi.
Sonuç olarak, tüm izobarik, hipobarik ve hiperbarik marcainler sezaryen için yeterli anestezi sağlayabilir. Bununla birlikte, izobarik marcain ile spinal anestezi, daha hızlı bir duyusal blok başlangıcına sahipti. Lokal anesteziklerin barisitesi veya yoğunluğu, sezaryen için maternal hemodinami ve motor blok skorları üzerinde istatistiksel olarak anlamlı bir fark göstermedi.
Keywords
Anahtar kelimeler: Sezaryen barisite dansite baspinal anestezi hiperbarik bupivakain izobarik bupivakain hiperbarik bupivakain
References
- 1. Grene N. (1985) Distribution of local anesthetic solutions within the subarachnoid space. Anesth Analg, 64,715-30.
- 2. Gabbe S, Niebly J, Simpson J. (2002). Obstetric Anesthesia: Obstetrics Normal and Problem Pregnancies Fourth Edition: Churchill Livingstone Chapter 15, 431-471.
- 3. Barash P,Cullen B, Stoelting R. (2006). Clinical Anaesthesia: Obstetric Anesthesia: Fifth edition. Lippincott Williams & Wilkins Chapter 42,1152-1180.
- 4. Brizzi A, Greco F, Malsavi A, Valerio A. (2005).Comparison of sequential combined spinalepidural anesthesia and spinal anesthesia for cesarean section. Anestesia,71,701-709.
- 5. Vercauteren M, Coppejans H, Hoffmann V, Saldien V. (1998). Small-Dose hyperbaric versus plain bupivacaine during spinal anesthesia for cesarean section. Anesth Analg,86,989-93.
- 6. Sarvela J, Halonen P, Korttila K. (1999). Comparison of 9 mg of intrathecal plain and hyperbaric bupivacaine both with fentanyl for cesarean delivery. Anesth Analg ,89,1257-62.
- 7. Velde M, Schoubroeck D, Jani J, Teunkes A. (2006). Combined spinal-epidural anesthesia for cesarean delivery: Dose dependent effects of hyperbaric bupivacaine on maternal hemodynamics. Anesth Analg,103,187-90.
- 8. Mendonca C, Griffiths J, Ateleanu B, Collis R. (2003). Hypotension following combined spinalepidural anaesthesia for cesarean section. Anaesthesia,58,428-31.
- 9. Hocking G, Wildsmith J. (2004). Intrathecal drug spread. Br J Anaesth ,93,568-78.
- 10. Parlow J, Money P, Chan P, Raymond J. (1999). Addition of opioids alters the density and spread of intrathecal local anesthetics? An in vitro study. Can J Anaesth ,46:1,66-70.
- 11. Martin R, FrigonC, Chretien A, Tetrault J. (2000). Onset of spinal block is more rapid with isobaric than hyperbaric bupivacaine. Can J Anaesth,47:1,43-46.
- 12. Hallworth S, Fernando R, Columb M, Stocks G. (2005). The effect of posture and baricity on the spread of intrathecal bupivacaine for elective cesarean delivery. Anesth Analg ,100,1159-65
- 13. Connolly C,McLeod G, Wildsmith J. (2001). Spinal anaesthesia for cesarean section with bupivacaine 5 mg ml-1 in glucose 8 or 80 mg ml-1. Br J Anaesth ,86,805-7.
- 14. Küçükgüçlü S, Ünlügenç H, Günenç F, Kuvaki B. (2008). The influence of epidural volume extension on spinal block with hyperbaric or plain bupivacaine for Caesarean delivery. Eur J Anaesthesiol, 25,307-313.
- 15. Lui A, Polis T,Cicutti N. (1998). Densities of cerebrospinal fluid and spinal anaesthetic solutions in surgical patients at body temperature. Can J Anaesth,45, 297-303.
- 16. Richardson M, Wissler R. (1996). Density of lumbar cerebrospinal fluid in pregnant and nonpregnant humans. Anesthesiology,85,326-30.
- 17. Sanderson P, Read J, Littlewood D, McKeown D. (1994). Interaction between baricity (glucose concentration) and other factors influencing intrathecal drug spread. Br J Anaest,73,744-746.
- 18. Cesur M, Alıcı H, Erdem A, Börekçi B. (2008). Spinal anesthesia with sequential administration of plain and hyperbaric bupivacaine provides satisfactory analgesia with hemodynamic stability in cesarean section. Int J Obstet Anesth,17,217-22.
- 19. Connolly C, Wildsmith J. (1998). Intrathecal drug spread. Can J Anaesth,45:4, 289-92.
- 20. Hallworth S, Fernando R,Stocks G.(2002). Predicting the density of bupivacaine and bupivacaineopioid combinations. Anesth Analg,94,1621-4.
- 21. Richardson M, Collins H, Wissler R. (1998). Intrathecal Hypobaric Versus Hyperbaric Bupivacaine with Morphine for Cesarean Section. Anesth Anlg,87,336-40.
- 22. Tyagi A, Kumar A, Sethi A.K, Mohta M. (2008). Epidural Volume Extension and Intrathecal Dose Requirement: Plain Versus Hyperbaric Bupivacaine. Anesth Analg,107,333-338.
- 23. Russell IF, Holmqvist EL. (1987). Subarachnoid analgesia for caesarean section. A double-blind comparison of plain and hyperbaric 0.5% bupivacaine. Br J Anaesth,59,347-53.
- 24. Patel M, Samsoon G, Swami A, Morgan B. (1993). Posture and the spread of hyperbaric bupivacaine in parturients using the combined spinal epidural technique. Can J Anaesth,40,943-6.
- 25. Kalso E, Tuominen M, Rosenberg PH. (1982). Effect of posture and some c.s.f. characteristics on spinal anaesthesia with isobaric 0.5% bupivacaine. Br J Anaesth, 54,1179-84.
- 26. Chung C.J, Bae S.H, Chae K.Y, Chin Y.J. (1996). Spinal anaesthesia with 0.25 % bupivacaine for Caesarean section: effects of volume. Br J Anaesth,77,145-149.
- 27. Pedersen H, Santos A, Steinberg E, Schapiro H. (1989). Incidence of Visceral Pain during Cesarean Section: The Effect of Varying Doses of Spinal Bupivacaine. Anesth Anal,69,46-9.
- 28. Balki M, Carvalho J. (2005). Intraoperative nausea and vomiting during cesarean section under regional anesthesia. Int J Obstet Anesth,14,230-241.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Articles |
| Authors | |
| Early Pub Date | April 3, 2023 |
| Publication Date | June 30, 2022 |
| Published in Issue | Year 2022 Volume: 1 Issue: 2 |