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   Selective Spinal Anaesthesia with Low-Dose Bupivacaine and Bupivacaine + Fentanyl in Ambulatory Arthroscopic Knee Surgery  
   
نویسنده Unal Demet ,Ozdogan Levent ,Ornek Hatice Dilsen ,Sonmez Hasan Karahan ,Ayderen Taner ,Arslan Mahmut ,Dikmen Bayazit
منبع journal of the pakistan medical association - 2012 - دوره : 62 - شماره : 4 - صفحه:313 -318
چکیده    Objective: to investigate the effects of selective spinal anaesthesia with low-dose bupivacaine alone and in combination with various doses of fentanyl, on blockage, haemodynamics, quality of anaesthesia, perioperative complications, and hospital release criteria.methods: this prospective study included 45 asa i-ii patients (age range: 20-77 years). the cases were randomised into 3 groups: group 1 ( n = 15) 0.8 ml of 4 mg 0.5% hyperbaric bupivacaine; group 2 (n = 14) 1.3-ml solution of 4 mg 0.5% hyperbaric bupivacaine + 25 µg of fentanyl; and group 3 (n = 14) 1.1-ml solution of 3 mg 0.5% hyperbaric bupivacaine + 25 µg of fentanyl. a double-blind design was employed and all patients were injected through l3-4 or l4-5 using a 25g point spinal needle. sensory-motor blockage starting and ending time, maximum level of sensory-motor blockage, and grade and quality of anaesthesia were recorded. haemodynamics, and respiration rates, and side effects were evaluated. times for ability to pass to the stretcher without aid, walking, micturition, release from the hospital, and the first time an analgesic was needed were recorded.results: the time when an analgesic was first required was longer in the groups in which an opioid was added, and the shortest release time from the hospital was observed in group 3. other parameters remained similar across all groups.conclusion: low-dose bupivacaine, with or without fentanyl, can be used safely in lower extremity surgery and can provide rapid and safe release criteria
کلیدواژه Spinal anaesthesia ,Ambulatory surgery ,Arthroscopy ,Bupivacaine ,Fentanyl (JPMA 62: 313; 2012)
آدرس Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation, Turkey, Ankara Numune Training & Research Hospital, Department of Anesthesiology and Reanimation, Turkey, Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation, Turkey, Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation, Turkey, Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation, Turkey, Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation, Turkey, Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation, Turkey
 
     
   
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