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    Anaesthetic and Hemodynamic Effects of Single Shot Versus Incremental Titration of Spinal Prilocaine [Tek Doz ve Surekli Spinal Anestezinin Hemodinamik ve Anestezik Etkilerinin Karsilastirilmasi]
    (1999) Reisli, R.; Horasanli, E.; Demirbilek, S.; Dikmen, B.; Yigitbasi, B.; Gogus, N.
    The effects of single shot and continuous spinal anaesthesia on hemodynamic stability, the quality of anaesthesia, recovery and complications were investigated on 30 patients (over age 60) undergoing transurethral procedures. 80 mg prilocaine was given to the single shot spinal anaesthesia group (Group T), and 40 mg prilocaine was given to the continuous spinal anaesthesia group (Group S). In intraoperative period, the systolic, diastolic and mean arterial blood pressure of group T were significantly lower when compared to group S (p<0.05). The heart rates in both groups decreased (p<0.05), but the comparison was not found significant (p>0.05). The hemodynamic stability of the patients of group S were more stable than those of group T. The level of sensorial anaesthesia was similar in both groups, and the time to reach this level was not different (p>0.05). The time to reach to the level of T12 was significantly shorter in group T (p<0.05). The level of motor block was similar in both groups (p>0.05). The onset time of the motor block was significantly shorter in group T (p<0.05), and the duration of motor block in this group was significantly longer (p<0.01). The recovery period was significantly shorter in group S (p<0.05). None of the patients needed additional sedation and analgesia. In group T, number of the complications in per and postoperative period was higher compared to group S. As a result of this study, the continuous spinal anaesthesia was found to be a reliable method in older patients because of its quality, minimum hemodynamic changes, the shortness of the recovery period and the lower complication rate.