Ropivacaine for Unilateral Spinal Anesthesia; Hyperbaric or Hypobaric?

Cantürk, Mehmet; Kilci, Oya; Ornek, Dilsen; Ozdogan, Levent; Pala, Y.; Şen, Özlem; Dikmen, Bayazıt

doi:10.1016/s0034-7094(12)70131-9

Cited by 14 publications

(10 citation statements)

References 13 publications

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“…1 The reduction of local anesthetic dose (adding adjuvants like opioids) and sympathectomy can contribute to more favourable haemodynamics and theoretically better outcomes in the elderly population. 16,17 We prefer to use hypobaric spinal anesthesia, due to difficulties of changing patient positions, advantage of decrease in urinary retention and better patient and surgeon satisfaction. During hypobaric spinal anesthesia, hypotension incidence is reduced, and recovery period shortened in our study.…”

Section: Concentration and Baricitymentioning

confidence: 99%

Should We Use Hypobaric Bupivacaine in Spinal Anesthesia for ERAS Patients Undergoing Total Hip Arthroplasty

Şahin¹,

Ay²,

Salihoğlu³

et al. 2019

Turkiye Klinikleri J Med Sci

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Enhanced Recovery After Surgery (ERAS) is a standardized perioperative care within a programme aims to reduce postoperative morbidity and length of hospital stay. The aim of this study was to evaluate which technique (hyperbaric or hypobaric spinal anesthesia) should we use in geriatric patients undergoing total hip arthroplasty according to ERAS. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : 104 patients' records (52 of them hypobaric spinal, 52 of them had been applied hyperbaric spinal anesthesia), American Society of Anesthesiologists (ASA) I-III, undergoing total hip arthroplasty between June 2017-December 2017 was elected for study. Haemodynamic values, postoperative complications, hospital length of stay, readmission or reoperation after surgery, intensive care unit (ICU) length of stay, mortality, 30-day readmission two months' mortality rates, duration of surgery, gender, age, ASA and additional co-morbidities were recorded from the patients' files. R Re es su ul lt ts s: : 38 males and 66 females were involved in the study, and their mean age was 76.24 years. The hospital length of stay, readmission or reoperation after surgery, ICU length of stay, duration of surgery were statistically significant differences between the groups. There were no statistically significant differences between the groups in 30-day readmission and mortality rates. When compared the blood pressures before and after the spinal block there were statistically significant differences between the groups. C Co on nc cl lu us si io on n: : The aim of ERAS in the arthroplasty is to reduce the hospitalization time without increasing complications and readmission. We conclude that hypobaric solutions are suitable for ERAS protocol in total hip arthroplasty, but more studies should be done for evaluate effect of hypobaric spinal anesthesia related with ERAS protocol. K Ke ey yw wo or rd ds s: : ERAS; hypobaric; arthroplasty Ö ÖZ ZE ET T A Am ma aç ç: : Cerrahi Sonrası Hızlandırılmış İyileşme (ERAS), bir program dahilinde standart bir perioperatif bakım olup, postoperatif morbidite ve hastanede kalış süresini azaltmayı amaçlamaktadır. Bu çalışmanın amacı, ERAS'a göre total kalça artroplastisi uygulanan geriatrik hastalarda hangi tekniği (hiperbarik veya hipobarik spinal anestezi) kullanmamız gerektiğini değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmamıza Haziran 2017-Aralık 2017 tarihleri arasında total kalça artroplastisi uygulanan Amerikan Anesteziyoloji Derneği (ASA) I-III olan 104 hasta (52'sinde hipobarik spinal, 52'sinde hiperbarik spinal anestezi) kaydedildi. Hemodinamik değerler, postoperatif komplikasyonlar, hastanede kalış süresi, tekrar hastaneye yatış veya yeniden ameliyat olup olmadığı, yoğun bakım ünitesi (YBÜ) kalış süresi, mortalite, 30 gün içinde tekrar yatış, iki aylık mortalite oranları, ameliyat süresi, cinsiyet, yaş, ASA ve ek hastalıklar hastaların dosyalarından kaydedildi. B Bu ul lg gu ul la ar r: : Çalışmaya 38 erkek ve 66 kadın katıldı ve yaş ortalamaları 76,24 yıl i...

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Section: Concentration and Baricitymentioning

confidence: 99%

Should We Use Hypobaric Bupivacaine in Spinal Anesthesia for ERAS Patients Undergoing Total Hip Arthroplasty

Şahin¹,

Ay²,

Salihoğlu³

et al. 2019

Turkiye Klinikleri J Med Sci

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“…El artículo titulado Efecto de la rotación de la cabeza en la presión intraocular en decúbito ventral: estudio aleatorizado, y publicado recientemente en la Revista Brasileña de Anestesiología, nos llama la atención sobre la importancia de la buena práctica anestésica con el fin de prevenir una complicación grave para los pacientes que se someten a la cirugía en decúbito ventral y que es la pérdida de la visión 1 .…”

Section: Sr Editorunclassified

“…1 . En él se mencionaba que el «grupo hipo (n = 30) recibió 11,25 mg de ropivacaína (7,5 mg/mL −1 ) + 2 mL de agua destilada (la densidad a temperatura ambiente fue de 0,997)».…”

Section: Conflicto De Interesesunclassified

Efecto de la rotación de la cabeza en la presión intraocular en decúbito ventral: estudio aleatorizado

Barbosa¹,

Barbosa²,

Cunha³

2015

Brazilian Journal of Anesthesiology (Edicion en Espanol)

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“…In unilateral spinal anesthesia, a hypobaric solution is administered into the subarachnoid space, with the patient placed in the lateral decubitus position ( 7 - 9 ). Limiting the spread of the spinal block offers many clinical advantages, including greatly reducing the hemodynamic impact of spinal anesthesia ( 10 ). In addition, unilateral spinal anesthesia can be useful in elderly patients who have low cardiac output and a risk of early postoperative embolization ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

“…Limiting the spread of the spinal block offers many clinical advantages, including greatly reducing the hemodynamic impact of spinal anesthesia ( 10 ). In addition, unilateral spinal anesthesia can be useful in elderly patients who have low cardiac output and a risk of early postoperative embolization ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Hemodynamic Changes in Unilateral Spinal Anesthesia Versus Epidural Anesthesia Below the T10 Sensory Level in Unilateral Surgeries: a Double-Blind Randomized Clinical Trial

Kiasari¹,

Babaei²,

Alipour³

et al. 2017

Med Arch

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Background:Unilateral spinal anesthesia is used to limit the spread of block. The aim of the present study was to compare hemodynamic changes and complications in unilateral spinal anesthesia and epidural anesthesia below the T10 sensory level in unilateral surgeries.Materials and Methods:In this double-blind randomized clinical trial in total 120 patients were randomly divided into a unilateral spinal anesthesia group (Group S) and an epidural anesthesia group (Group E). Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and heart rates were measured before and immediately after the administration of spinal or epidural anesthesia and then at 5-, 10-, 15-, 20-, 25-, and 30-min intervals. The rates of prescribed ephedrine and intraoperative respiratory arrest were recorded, in addition to postoperative nausea and vomiting, puncture headaches, and back pain during the first 24 h after the surgery.Results:SBP, DBP, and MAP values initially showed a statistically significant downward trend in both groups (p = 0.001). The prevalence of hypotension in Group S was lower than in Group E, and the observed difference was statistically significant (p < 0.0001). The mean heart rate change in Group E was greater than in Group S, although the difference was not statistically significant (p = 0.68). The incidence of prescribed ephedrine in response to a critical hemodynamic situation was 5.1% (n = 3) and 75% (n = 42) in Group S and Group E, respectively (p = 0.0001). The incidence of headaches, back pain, and nausea/vomiting was 15.3%, 15.3%, and 10.2% in Group S and 1.8%, 30.4%, and 5.4% in Group E (p = 0.017, 0.07, and 0.49, respectively).Conclusion:Hemodynamic stability, reduced administration of ephedrine, a simple, low-cost technique, and adequate sensory and motor block are major advantages of unilateral spinal anesthesia.

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Ropivacaine for Unilateral Spinal Anesthesia; Hyperbaric or Hypobaric?

Cited by 14 publications

References 13 publications

Should We Use Hypobaric Bupivacaine in Spinal Anesthesia for ERAS Patients Undergoing Total Hip Arthroplasty

Should We Use Hypobaric Bupivacaine in Spinal Anesthesia for ERAS Patients Undergoing Total Hip Arthroplasty

Efecto de la rotación de la cabeza en la presión intraocular en decúbito ventral: estudio aleatorizado

Comparison of Hemodynamic Changes in Unilateral Spinal Anesthesia Versus Epidural Anesthesia Below the T10 Sensory Level in Unilateral Surgeries: a Double-Blind Randomized Clinical Trial

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