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]
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
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.
Açıklama
Anahtar Kelimeler
Bupivacaine, Levobupivacaine, Spinal anesthesia, TURP
Kaynak
Anestezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
16
Sayı
3
