| Autor: |
González de Zárate Apiñaniz J; Servicio de Anestesiología, Hospital Militar, Valladolid., Sayalero San Miguel JM, Alvarez López JC, Arribas Carrión C |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim] 1991 Jul-Aug; Vol. 38 (4), pp. 238-41. |
| Abstrakt: |
In a sample of 20 healthy men (ASA I) we studied the thermal effects induced after epidural anesthetic blockade with bupivacaine (0.625%) and their relationship with the level of sensitive blockade to puncture or to cold. After 30 min of epidural injection of bupivacaine the level of cephalic analgesia was D IX (D IX +/- 2 segments) and that of cold discrimination D VII (D VII +/- 2 segments) being the thermo-algesic differential blockade of 2 to 3 segments. During epidural anesthesia there was a significant increase in foot skin temperature (4.1 +/- 1 centigrade degrees, p less than 0.001) without any appreciable skin temperature change at the thorax, abdomen, thigh, and calves. It is concluded that epidural anesthesia with bupivacaine (0.625%) at a sensitive analgesic level D IX produces significant increases in skin temperature only at the foot. This indicates that the extension level of sympathetic blockade is lower that of the analgesia. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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