Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section

Gori, Fabio; Corradetti, Francesco; Cerotto, Vittorio; Peduto, V. A.

doi:10.1155/2010/212696

Cited by 25 publications

(29 citation statements)

References 29 publications

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“…There is still a belief that plain local anesthetics give unpredictable blocks [8,9], but in our study, using a 10 mg dose of plain levobupivacaine, a predictable anesthesia was achieved and the success rate was high. Similar results were found by Gori et al [10] using isobaric levobupivacaine for Caesarean section. Hunt et al [11] reported that fentanyl given intrathecally in conjunction with 0.5% levobupivacaine improved the quality of intraoperative analgesia, prolonged the duration of postoperative analgesia and retarded the sensory anesthesia regression without delaying motor regression.…”

Section: Discussionsupporting

confidence: 89%

Comparison of intrathecal plain articaine and levobupivacaine with fentanyl for Caesarean section

Demircioğlu¹,

Gözdemir²,

Usta³

et al. 2016

CIM

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Purpose: Articaine is used as a local anesthetic for outpatient surgery because it offers rapid onset of anesthesia and short duration motor block. Levobupivacaine is often preferred for Caesarean section. We evaluated the anesthetic characteristics of fentanyl-supplemented plain articaine and levobupivacaine for Caesarean section under combine spinal epidural anesthesia.Methods: Patients undergoing Caesarean section received in random order plain articaine 40 mg (Group A, n=50) or plain levobupivacaine 10 mg (Group L, n=50) mixed with fentanyl 20 µg intrathecally. The onset and duration of sensory and motor block, first analgesic request, and hemodynamic parameters were recorded.Results: Onset times of maximum motor block were longer in Group L than Group A (P=0,001). Time to two-segment regression of sensory block were 70 min for Group A and 90 min group L (P=0.001). Times to complete regression of motor blockade were significantly longer in group L than group A (P =0,001). Conclusion:To have a faster onset and shorter duration of spinal anesthesia, we recommend the use of plain articaine for Caesarean section.SUPPLEMENT

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Section: Discussionsupporting

confidence: 89%

Comparison of intrathecal plain articaine and levobupivacaine with fentanyl for Caesarean section

Demircioğlu¹,

Gözdemir²,

Usta³

et al. 2016

CIM

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show abstract

“…fluids. Thus group D patients were haemodynamically less stable compared to group S. In the study of Gupta et.al 17 . (2011) hypotention was more in the dexmedetomidine group than in fentanyl group but it was not statistically significant.…”

Section: Discussionmentioning

confidence: 84%

A Comparative Evaluation of Intrathecal Levobupivacaine with Dexmedetomidine versus Levobupivacaine in Gynecological Surgeries.

J.P¹,

D.K²,

Bhaskar³

et al. 2016

IOSR

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“…Bouvet et al 21 reported that, when combined with opioids, ED 95 of intrathecal levobupivacaine is 12.9 mg for caesarean delivery. Gori et al 22 evaluated infl uence of positioning on 12.5 mg plain levobupivacaine spinal anesthesia in cesarean section. In our study, the same spinal doses according to the patient height was administered to all the patients to ensure a suffi cient level of anesthesia, especially in Group 1, and not to adversely infl uence the comfort of the patient during cesarean delivery.…”

Section: Discussionmentioning

confidence: 99%

O bloqueio combinado raqui-peridural com extensão do volume peridural causa nível mais alto de bloqueio do que a raquianestesia com dose única

Salman¹,

Kayacan²,

Ertuğrul³

et al. 2013

Rev. Bras. Anestesiol.

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Background and objectives: We evaluated the effects of epidural injection with levobupivacaine or serum physiologic, epidural volume extension (EVE), when using combined spinal-epidural anesthesia (CSEA) for cesarean delivery. Methods: One-hundred and thirty-eight patients with a full-term pregnancy of 37-42 weeks that were scheduled for cesarean delivery were included. Group 1 (n = 48) received single-shot spinal anesthesia (SSS), group 2 (n = 45) received CSEA-EVE with saline, group 3 received CSEA-EVE with levobupivacaine. The characteristics of motor and sensory block, the effects on maternal hemodynamic changes and the effects on the newborn were compared. Results: Time to reach maximum sensory block was signifi cantly shorter in groups 3 than in group 1 and 2 (p < 0.05). Two-segment regression time of sensory block was signifi cantly shorter in group 1, whereas it was signifi cantly longer in group 3 than in group 2 (p < 0.05). Time to onset of motor block was signifi cantly longer in group 1 than in groups 2 and 3 (p < 0.05). Time to reach maximum motor block was signifi cantly shorter in group 3 than in groups 1 and 2 (p < 0.05). Time to recovery of motor block was signifi cantly longer in group 3 than in groups 1 and 2 (p < 0.05). The time to fi rst analgesic was signifi cantly longer in group 3 (p < 0.05). Conclusions: Suffi cient and rapid motor and sensory block was achieved in all the patients in the present study; however, motor and sensory block had faster onset, lasted longer, and was of a higher level in groups 2 and 3; these effects were more pronounced in the group 3.

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Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section

Cited by 25 publications

References 29 publications

Comparison of intrathecal plain articaine and levobupivacaine with fentanyl for Caesarean section

Comparison of intrathecal plain articaine and levobupivacaine with fentanyl for Caesarean section

A Comparative Evaluation of Intrathecal Levobupivacaine with Dexmedetomidine versus Levobupivacaine in Gynecological Surgeries.

O bloqueio combinado raqui-peridural com extensão do volume peridural causa nível mais alto de bloqueio do que a raquianestesia com dose única

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