Anaesthetic and Haemodynamic Effects of Continuous Spinal Versus Continuous Epidural Anaesthesia With Prilocaine

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dc.contributor.authorReisli, Ruhiye
dc.contributor.authorÇelik, J.
dc.contributor.authorTuncer, S.
dc.contributor.authorYosunkaya, Alper
dc.contributor.authorOtelcioğlu, S.
dc.date.accessioned2020-03-26T16:45:26Z
dc.date.available2020-03-26T16:45:26Z
dc.date.issued2003
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground and objective: To compare, using prilocaine, the effects of continuous spinal anaesthesia (CSA) and continuous epidural anaesthesia (CEA) on haemodynamic stability as well as the quality of anaesthesia and recovery in patients undergoing transurethral resection of the prostate gland. Methods: Thirty patients (>60 yr) were randomized into two groups. Prilocaine, 2% 40 mg, was given to patients in the CSA group, and prilocaine 1% 150 mg was given to patients in the CEA group. Incremental doses were given if the level of sensory block was lower than T-10 or if needed during surgery. Results: There was a significant decrease in mean arterial pressure in Group CEA compared with Group CSA (P < 0.01). The decrease in heart rate in Group CSA occurred 10 min after the first local anaesthetic administration and continued through the operation (P < 0.05). The level of sensory anaesthesia was similar in both groups. The times to reach the level of T-10 and the upper level of sensory blockade (T-max) were 18.0 +/- 4.7 and 25.3 +/- 7.0 min in Groups CSA and CEA, respectively, and were significantly longer in Group CEA. The duration of anaesthesia was 76.8 +/- 4 min and was shorter in Group CSA (P < 0.01). Conclusions: Spinal or epidural anaesthesia administered continuously was reliable in elderly patients undergoing transurethral resection of the prostate. Continuous spinal anaesthesia had a more rapid onset of action, produced more effective sensory and motor blockade and had a shorter recovery period. Prilocaine appeared to be a safe local anaesthetic for use with either continuous spinal anaesthesia or continuous epidural anaesthesia.en_US
dc.identifier.citationReisli, R., Çelik, J., Tuncer, S., Yosunkaya, A., Otelcioğlu, S., (2003). Anaesthetic and Haemodynamic Effects of Continuous Spinal Versus Continuous Epidural Anaesthesia With Prilocaine. European Journal of Anaesthesiology, 20(1), 26-30. Doi: 10.1097/00003643-200301000-00005
dc.identifier.doi10.1097/00003643-200301000-00005en_US
dc.identifier.endpage30en_US
dc.identifier.issn0265-0215en_US
dc.identifier.issue1en_US
dc.identifier.pmid12553385en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage26en_US
dc.identifier.urihttps://dx.doi.org/10.1097/00003643-200301000-00005
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18370
dc.identifier.volume20en_US
dc.identifier.wosWOS:000180664000005en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorReisli, Ruhiye
dc.institutionauthorÇelik, J.
dc.institutionauthorTuncer, S.
dc.institutionauthorYosunkaya, Alper
dc.institutionauthorOtelcioğlu, S.
dc.language.isoenen_US
dc.publisherGreenwich Medical Media Ltden_US
dc.relation.ispartofEuropean Journal of Anaesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAnaesthesiaen_US
dc.subjectAnaesthesia conductionen_US
dc.subjectAnaestheticsen_US
dc.subjectAge groupsen_US
dc.subjectConduction
dc.subjectAnaesthesia epidural
dc.subjectAnaesthesia spinal
dc.subjectLocal
dc.subjectPrilocaine
dc.subjectAdult
dc.subjectAged
dc.titleAnaesthetic and Haemodynamic Effects of Continuous Spinal Versus Continuous Epidural Anaesthesia With Prilocaineen_US
dc.typeArticleen_US

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