| Autor: |
Kaban, Ozden Gorgoz, Yazicioglu, Dilek, Akkaya, Taylan, Sayin, M. Murat, Seker, Duray, Gumus, Haluk |
| Předmět: |
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| Zdroj: |
Scientific World Journal; 2014, p1-6, 6p |
| Abstrakt: |
Background. The local anaesthetics used in day-case spinal anaesthesia should provide short recovery times. We aimed to compare hyperbaric prilocaine and bupivacaine in terms of sensory block resolution and time to home readiness in day-case spinal anaesthesia. Methods. Fifty patients undergoing perianal surgery were randomized into two groups. The bupivacaine-fentanyl group (Group B) received 7.5mg, 0.5% hyperbaric bupivacaine + 20µg fentanyl in total 1.9mL. The prilocaine-fentanyl group (Group P) received 30mg, 0.5% hyperbaric prilocaine + 20µg fentanyl in the same volume. Results. Time to L1 block and maximum block was shorter in Group P than in Group B (Group P 4.6 ± 1.3min versus Group B 5.9 ± 01.9min, P = 0.017, and Group P 13.2 ± 7.5min versus Group B 15.3 ± 6.6min, P = 0.04). The time to L1 regression and S3 regression of the sensorial block was significantly shorter in Group P than in Group B (45.7 ± 21.9min versus 59.7 ± 20.9min, P = 0.024, and 133.8 ± 41.4min versus 200.4 ± 64.8min, P < 0.001). The mean time to home readiness was shorter for Group P than for Group B (155 ± 100.2min versus 207.2 ± 62.7min (P < 0.001)). Conclusion. Day-case spinal anaesthesia with hyperbaric prilocaine + fentanyl is superior to hyperbaric bupivacaine in terms of earlier sensory block resolution and home readiness and the surgical conditions are comparable for perianal surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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