Elektif Sezaryenlerde Lidokain+Bupivakain Mikst Alkalinize ve Lidokain Mikst Alkalinize Solüsyonlarının Ekstradural Anestezide Blok Kalitesi Yönünden Karşılaştırılması

Year 1996, Volume: 1 Issue: 2, 23 - 26, 30.12.1996

Levent Kılıçkan Kamil Toker Mustafa Tanyer Nurten Aşçı

Abstract

Çalışmamızda, ekstradural anestezinin intraoperatif blok kalitesini değerlendirmeyi
amaçladık. Anestezist ve hastaların ağrıyı skorlama yöntemleriyle, lidokain +
bupivakain mikst alkalinize grubunu, lidokain mikst alkalinize grubuna göre
istatistiksel olarak anlamlı iyi bulduk (p = 0,044). Operasyonu tamamlamak için
lidokain + bupivakain mikst alkalinize grubunda hazırlanan 21 ml solüsyon
yeterli olurken, lidokain mikst alkalinize grubunda 5 hastada ilaveler gerekti.
Gruplar arasında anlamlı fark vardı (p<0,001). Elektif seksiyolarda ekstradural
anestezinin intraoperatif blok kalitesi yönünden, lidokain + bupivakain mikst
alkalinize grubundaki solüsyonları, lidokain mikst alkalinize grubundaki solüsyonlara
göre, istatistiksel olarak anlamlı iyi bulduk.

Keywords

Obstetrik anestezi, lidokain + bupivakain mikst alkalinize, lidokain mikst alkalinize, intraoperatif blok kalitesi

A Comparison Between The Mixture of Lignocaine+Bupivacaine Alkalinized Solutions and The Mixture of Lignocaine Alkalinized Solutions, As Regards Block Quality in Extradural Anaesthesia in Elective Caserean Sections

Abstract

In the present study, we aimed to evaluate intraoperative block quality
of extradural anaesthesia . With the anaesthetist's and the patient's scoring,
lignocaine + bupivacaine mixture alkalinized group was found to be
statistically more significant in the intraoperative block quality than the
lignocaine mixture alkalinized group. While 21 ml solutions was sufficient to
accomplish the surgery in the lignocaine + bupivacaine mixture alkalinized
group, it became necessary to make additions in five patients in the lignocaine
mixture alkalinized group. There was a statistically significant difference
between the groups (p<0.001). In elective casereans sections, intaoperative
block quality in extradural anaesthesia in lignocaine + bupivacaine mixture
alkalinized group solutions are statistically more significant than in the
lignocaine mixture alkalinized group solutions.

Keywords

Obstetric anaesthesia, lignocaine + bupivacaine mixture alkalinized, lignocaine mixture alkalinized, intraoperative block quality

References

• Norton AC, Davis AG, Spicer RJ. Lignocaine 2% with adrenaline for epidural caesarean section. Anaesthesia. 1988;43(10):844-849. doi: 10.1111/j.13652044.1988.tb05597.x
• Reid JA, Thorburn J. Extradural bupivacaine or lignocaine anaesthesia for elective caesarean section: the role of maternal posture. Br J Anaesth. 1988;61(2):149-153. doi: 10.1093/bja/61.2.149
• Tackley RM, Coe AJ. Alkalinized bupivacain and adrenaline for epidural caesarean section, a comparison with 0.5% bupivacaine. Anaesthesia. 1988;43(12):1019-1021.
• Scott DB, McClure JH, Giasi RM, Seo J, Covino BG. Effects of concentration of local anaesthetic drugs in extradural block. Br J Anaesth. 1980;52(10):1033-1037. doi: 10.1093/bja/52.10.1033
• Alahuta S, Kangas-Saarle T, Hollmen Al, Edstrom HH. Visceral pain during caesarean section under spinal and epidural anaesthesia with bupivacaine. Acta Anaesthesiol Scand. 1990;34(2):95-98. doi: 10.1111/j.1399-6576.1990.tb03050.x
• Peach MJ, Westmore MD, Speirs HM. A double-blind comparison of epidural bupivacaine and bupivacaine-fentanyl for caesarean section. Anaesth Intensive Care. 1990;18(1):22-30. doi: 10.1177/0310057X9001800105
• DiFazio CA, Carron H, Grosslight KR, Moscicki JC, Bolding WR, Johns RA. Comparison of pH-adjusted lidocaine solutions for epidural anaesthesia. Anasth Analg. 1986;65(7):760-764.
• McLintic AJ, Danskin FH, Reid JA, Thorburn J. Effect of adrenaline on extradural anaesthesia,plasma lignocaine concentrations and the feto-placental unit during elective caesarean section. Br J Anaesth. 1991;67(6):683-689. doi: 10.1093/bja/67.6.683
• Robson SC, Boys RC, Rodeck C, Morgan B: Maternal and fetal haemodynamic effects of spinal and extradural anaesthesia for elective caesarean section. Br J Anaesth. 1992;68(1):54-59. doi: 10.1093/bja/68.1.54
• Preston PG, Rosen MA, Hughes SC, et al. Epidural anaesthesia with fentanyI and lidocaine for caesarean section : maternal effects and neonatal outcome. Anaesthesiology. 1988;68(6):938-943. doi: 10.1097/00000542-198806000-00019
• Schlesinger TS, Miletich DJ. Epidural fentanyl and lidocaine during caesarean section: maternal efficacy and neonatal safety using impedance monitoring. Anaesthesiology. 1988;69;A649.
• Marites PG, Bowden Ml, Cooper GM. Surgical analgesia for caesarean delivery with epidural bupivacaine and fentanyl. Anaesthesiology 1986;65(3):331-334.
• Xing MS, Bowden MI, Cooper GM. Epidural fentanyl and 0.5% bupivacaine for elective caesarean section. Anaesthesia. 1990;45(4):285-288. doi: 10.1111/j.1365-2044.1990.tb14733.x
• Kestin IG. Spinal anaesthesia in obstetrics. Br J Anaesth. 1991;66(6):596-607. doi: 10.1093/bja/66.5.596
• Noble DV, Morrison LM, Brockway MS, McClure JH. Adrenaline, fentanyl or adrenaline and fentanyl as adjuncts to bupivacaine for extradural anaesthesia in elective caesarean section. Br J Anaesth. 1991;66(6):645-650. doi: 10.1093/bja/66.6.645
• Kestin TG, Madden AP, Mulveinand JT, Goodman NW. Comparison of incremental spinal anaesthesia using a 32-gauge catheter with extradural anaesthesia for elective caesarean section. Br J Anaesth. 1991,66(2):232-236. doi: 10.1093/bja/66.2.232
• Douglas MJ, McMorland GH, Jeffery WK. The effect of pH adjustment of bupivacaine on epidural anaesthesia for caesarean section. Anaesthesiology. 1986;65:A380