Unilateral spinal anaesthesia for varicose vein surgery: a comparison of hyperbaric bupivacaine 7.5 mg versus hyperbaric bupivacaine 5 mg fentanyl 25 μgReport as inadecuate




Unilateral spinal anaesthesia for varicose vein surgery: a comparison of hyperbaric bupivacaine 7.5 mg versus hyperbaric bupivacaine 5 mg fentanyl 25 μg - Download this document for free, or read online. Document in PDF available to download.

Periodicum biologorum, Vol.111 No.2 June 2009. -

Background and Purpose: Unilateral spinal anaetshesia restricts the

distrubution of spinal block preferentially to the operative side. Intrathecal coadministration of opioids increases sensory block without enhancing motor or sympathetic block. In this study we compared unilateral hyperbaric bupivacaine spinal anaesthesia with or without fentanyl in patients undergoing varicose vein surgery.

Material and Methods: 40 ASA I-II adults randomly received unilateral

spinal anaestehsia with hyperbaric bupivacaine 7.5 mg Group B, n=20 or hyperbaric bupivacaine 5 mg+ fentanyl 25mg Group BF, n=20. Sensory and motor block, hemodynamic data and side-effects were recorded.

Results: Maximum level of sensory block on operative leg was Th11

Th12-Th8 in Group B and Th12 Th12-Th10 in Group BF, P=0.09.

Complete motor block had 12 60% Group B and 4 20% Group BF patients, P=0.02. Total regression of motor block required 127 ± 31 min in Group B and 87 ± 18 min in Group BF, P



Author: RENATA KROBOT - ; General hospital Varaždin, Department of Anesthesiology and Intensive Care, Ivana Meštrovića 2, 42000 Varaž

Source: http://hrcak.srce.hr/



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