The comparison of levobupivacaine in continuous or single dose spinal anesthesia for transurethral resection of prostate surgery

Background: The aim of the study is to compare the efficacy of levobupivacaine induced continuous spinal anesthesia (CSA) versus single dose spinal anesthesia (SDSA) in patients who are planned to undergo transurethral prostate resection. Methods: Sixty years or older, ASA I-II or III, 50 patients were included in the study. 12.5 mg 0.5% levobupivacaine were administered intrathecally in SDSA group. In CSA group, initially 2 mL of 0.25% levobupivacaine were administered through spinal catheter. In order to achieve sensory block level at 110 dermatome, additional 1 mL of 0.25% levobupivacaine were administered through the catheter in every 10 min. Hemodynamic parameters and block characteristics were recorded. Preoperative and postoperative blood samples of the patients were drawn to determine plasma cortisone and plasma epinephrine levels. Results: CSA technique provided better hemodynamic stability compared to SDSA technique particularly 90 min after intrathecal administration. The rise in sensory block level was rapid and the time to reach surgical anesthesia was shorter in SDSA group. Motor block developed faster in SDSA group. In CSA group, similar anesthesia level was achieved by using lower levobupivacaine dose and which was related to faster recovery. Although, both techniques were effective in preventing surgical stress respond, postoperative cortisone levels were suppressed more in SDSA group. Conclusion: CSA technique with 0.25% levobupivacaine can be used as a regional anesthesia method for elderly patients planned to have TUR-P operation. (C) 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

Yazar Baydilek, Yunus
Yurtlu, Bulent Serhan
Hanci, Volkan
Ayoglu, Hilal
Okyay, Rahsan Dilek
Kayhan, Gulay Erdogan
Tokgoz, Husnu
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3469
Tek Biçim Adres 10.1016/j.bjane.2013.03.007
Konu Başlıkları Levobupivacaine
Continuous spinal
anesthesia
Spinal anesthesia
Transurethral
prostate resection
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı REVISTA BRASILEIRA DE ANESTESIOLOGIA
Dergi Cilt Bilgisi 64
Dergi Sayısı 2
Sayfalar 89 - 97
Yayın Yılı 2014
Eser Adı
[dc.title]
The comparison of levobupivacaine in continuous or single dose spinal anesthesia for transurethral resection of prostate surgery
Yazar
[dc.contributor.author]
Baydilek, Yunus
Yazar
[dc.contributor.author]
Yurtlu, Bulent Serhan
Yazar
[dc.contributor.author]
Hanci, Volkan
Yazar
[dc.contributor.author]
Ayoglu, Hilal
Yazar
[dc.contributor.author]
Okyay, Rahsan Dilek
Yazar
[dc.contributor.author]
Kayhan, Gulay Erdogan
Yazar
[dc.contributor.author]
Tokgoz, Husnu
Yayın Yılı
[dc.date.issued]
2014
Yayıncı
[dc.publisher]
ELSEVIER SCIENCE INC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: The aim of the study is to compare the efficacy of levobupivacaine induced continuous spinal anesthesia (CSA) versus single dose spinal anesthesia (SDSA) in patients who are planned to undergo transurethral prostate resection. Methods: Sixty years or older, ASA I-II or III, 50 patients were included in the study. 12.5 mg 0.5% levobupivacaine were administered intrathecally in SDSA group. In CSA group, initially 2 mL of 0.25% levobupivacaine were administered through spinal catheter. In order to achieve sensory block level at 110 dermatome, additional 1 mL of 0.25% levobupivacaine were administered through the catheter in every 10 min. Hemodynamic parameters and block characteristics were recorded. Preoperative and postoperative blood samples of the patients were drawn to determine plasma cortisone and plasma epinephrine levels. Results: CSA technique provided better hemodynamic stability compared to SDSA technique particularly 90 min after intrathecal administration. The rise in sensory block level was rapid and the time to reach surgical anesthesia was shorter in SDSA group. Motor block developed faster in SDSA group. In CSA group, similar anesthesia level was achieved by using lower levobupivacaine dose and which was related to faster recovery. Although, both techniques were effective in preventing surgical stress respond, postoperative cortisone levels were suppressed more in SDSA group. Conclusion: CSA technique with 0.25% levobupivacaine can be used as a regional anesthesia method for elderly patients planned to have TUR-P operation. (C) 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.
Açıklama
[dc.description]
WOS: 000337101400004
Açıklama
[dc.description]
PubMed: 24794450
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Levobupivacaine
Konu Başlıkları
[dc.subject]
Continuous spinal
Konu Başlıkları
[dc.subject]
anesthesia
Konu Başlıkları
[dc.subject]
Spinal anesthesia
Konu Başlıkları
[dc.subject]
Transurethral
Konu Başlıkları
[dc.subject]
prostate resection
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
0034-7094
ISSN
[dc.identifier.issn]
1806-907X
İlk Sayfa Sayısı
[dc.identifier.startpage]
89
Son Sayfa Sayısı
[dc.identifier.endpage]
97
Dergi Adı
[dc.relation.journal]
REVISTA BRASILEIRA DE ANESTESIOLOGIA
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
64
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1016/j.bjane.2013.03.007
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3469
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
15
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 21:26
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Tıklayınız
levobupivacaine anesthesia patients administered spinal technique sensory faster postoperative catheter plasma levels cortisone through planned surgical similar administration techniques achieved shorter developed recovery related Although Background effective Anestesiologia operation Sociedade Brasileira Published Elsevier Editora rights
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