Elektif sezaryen girişimlerinde intratekal hiperbarik bupivakain ile ropivakain'e eklenen sufentanil'in karşılaştırılması
Küçük Resim Yok
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada elektif sezaryen için sufentanil eklenen hiperbarik ropivakain ve bupivakain kombinasyonlarının intratekal verilmesinin motor ve duyusal blok özellikleri, anne ve bebek üzerine etkilerinin karşılaştırılması amaçlandı. Yöntem: Çalışma, ASA I-II, 18-40 yaşları arasında elektif sezaryen operasyonu geçirecek miadında 60 gebe kadında, prospektif ve randomize olarak planlandı. İntratekal olarak 30 gebeye 12.5 mg hiperbarik bupivakain+5 pıg sufentanil 3 mL serum fizyolojik içinde (Grup HBS) ve diğer 30 gebeye de 12.5 mg hiperbarik ropivakain+5 pıg sufentanil 3 mL serum fizyolojik içinde (Grup HRS) kullanıldı. Bulgular: HRS grubunda, HBS grubuna göre maksimum duyusal bloğa ulaşma süresi istatistiksel olarak anlamlı çıkmasa da daha kısa idi. İki segment regresyon süresi HRS grubunda, HBS grubundan daha kısa bulundu. Gruplar arası karşılaştırmada motor blok oluşma süresi ve motor blok kalkış süreleri HRS grubunda anlamlı daha kısa idi (p<0.05). Sonuç: Sezaryen ile gerçekleştirilen doğumlarda, intratekal hiperbarik bupivakain ve hiperbarik ropivakaine sufentanil ilavesinin güvenle kullanılabileceği kanısına varılmıştır.
Objective: In this study, we aimed to compare the motor and sensorial block characteristics, maternal and fetal effects, of intrathecal sufentanil combinations including either hyperbaric bupivacaine or hyperbaric ropivacaine in pregnant women undergoing spinal block for elective cesarean deliveries. Method: Sixty pregnant women between 18 and 40 years undergoing elective cesarean section were studied in a randomized prospective design. In group HBS, 12.5 mg hyperbaric bupivacaine and 5 pig sufentanil in 3 mL serum physiologic was applied intrathecally in 30 of the women. In group HRS, 12.5 mg hyperbaric ropivacaine and 5 pig sufentanil in 3 mL serum physiologic was applied intrathecally to the other 30. Results: In group HRS, the duration for reaching the maximum sensorial block was shorter in comparison to group HBS, although the difference was not statistically significant. The two-segment regression time was shorter in group HRS, when compared to group HBS. Motor block development time and motor block recovery time were statistically shorter in group HRS (p<0.05). Conclusion: Sufentanil combinations with either intrathecal hyperbaric bupivacaine or intrathecal hyperbaric ropivacaine can be used safely on patients undergoing cesarean deliveries.
Objective: In this study, we aimed to compare the motor and sensorial block characteristics, maternal and fetal effects, of intrathecal sufentanil combinations including either hyperbaric bupivacaine or hyperbaric ropivacaine in pregnant women undergoing spinal block for elective cesarean deliveries. Method: Sixty pregnant women between 18 and 40 years undergoing elective cesarean section were studied in a randomized prospective design. In group HBS, 12.5 mg hyperbaric bupivacaine and 5 pig sufentanil in 3 mL serum physiologic was applied intrathecally in 30 of the women. In group HRS, 12.5 mg hyperbaric ropivacaine and 5 pig sufentanil in 3 mL serum physiologic was applied intrathecally to the other 30. Results: In group HRS, the duration for reaching the maximum sensorial block was shorter in comparison to group HBS, although the difference was not statistically significant. The two-segment regression time was shorter in group HRS, when compared to group HBS. Motor block development time and motor block recovery time were statistically shorter in group HRS (p<0.05). Conclusion: Sufentanil combinations with either intrathecal hyperbaric bupivacaine or intrathecal hyperbaric ropivacaine can be used safely on patients undergoing cesarean deliveries.
Açıklama
Anahtar Kelimeler
Anestezi, Acil Tıp
Kaynak
Anestezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
14
Sayı
3
