Yazar "Davarci I." seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Comparison the effects of low dose intrathecal levobupivacaine and bupivacaine in transurethral resection of prostate [Transüretral prostat rezeksiyonunda intratekal düşük doz levobupivakain ve bupivakainin etkilerinin karşilaştirilmasi]
    (2008) Borazan H.; Erdem T.B.; Davarci I.; Otelcio?lu S.
    Background: To compare the clinical efficacy of low dose levobupivacaine bupivacaine in spinal anesthesia for transurethral resection of the prostate (TURP) in elderly patients. Methods: In this prospective, randomized, double-blinded, controlled study, sixty ASA II-III patients were randomly assigned into two groups by using levobupivacaine 10 mg (2 mL) (Group L), and bupivacaine 10 mg (2 mL) (Group B) with 22 G spinal needle for spinal anesthesia. Heart rate, noninvasive blood pressure, sensorial and motor block levels were recorded. When the sensorial block level reached to T10 dermatome, the operation started. Results: There was no statistically significant difference between patients demographic data, operation time, ASA status, heart rate, sistolic, diastolic and mean arterial pressures (p >0.05). When sensorial blocks were compared, sensorial block onset time shorter in levobupivacaine group than bupivacaine and results were statistically significant (p < 0.05). Motor block onset time, motor block ending time and postoperative Bromage scores of levobupivacaine and bupivacaine groups were not statistically significant (p > 0.05). There were no difference between side effects of both the groups (p > 0.05). Conclusions: We concluded that same dose of bupivacaine and levobupivacaine maintained enough anesthesia without disturbing haemodynamics and had little side effects in these doses, in patients operated for bening prostate hiperplasy with spinal anesthesia. We suggest that both of them can be used confidently in elderly patients.
  • Küçük Resim Yok
    Öğe
    The effects of low dose levobupivacaine with or without sufentanil intrathecally in transurethral resection of prostate [Transütretral prostat rezeksiyon cerrahisinde sufentanil ile beraber veya tek olarak düşük doz levobupivakainin etkisi]
    (2011) Borazan H.; Davarci I.; Keçecio?lu A.; Otelcio?lu S.
    Aim: We aimed to compare the clinical efficacy of levobupivacaine alone and levobupivacaine/sufentanil combination in spinal anesthesia for transurethral resection of the prostate (TURP) in elderly patients. Method: Ninety patients were randomly assigned into two groups to receive either levobupivacaine 10 mg (Group L) or levobupivacaine 7.5 mg combined with 2.5 ?g sufentanil (Group LS) for spinal anesthesia. The dermatome level and upper level of sensory blockade, time to develop a sensory block to T10, duration of sensory and motor blockade, Bromage score at the end of surgery, two- segment sensory regression time, and side effects were recorded. The quality of anesthesia was evaluated and rated after the surgery. Result: There were no significant differences between groups in demographic data or hemodynamic variables in terms of sensory blockade, onset time of sensory blockade to T10 dermatome, and two-segment regression. Bromage score at the end of surgery was significantly higher in Group L (p<0.05). The number of patients with maximum motor block was significantly higher in Group L (p<0.05). Complete motor block resolution time was longer in Group L (p<0.05). There were no significant differences in side effects between groups except for pruritus (p<0.05). There were no significant differences between groups in quality of anesthesia. Conclusion: It was shown that 10 mg levobupivacaine and 7.5 mg levobupivacaine combined with 2.5 ?g sufentanil were considered to be convenient for clinical use in TURP surgery with spinal anesthesia; both treatments provided adequate anesthesia with hemodynamic stability in elderly patients.