TY - JOUR T1 - The Comparison of Spinal Ropivacaıne and Levobupivacaine for Transurethral Surgery TT - Transüretral Cerrahide Spinal Anestezide Ropivakain ve Levobupivakainin Karşılaştırılması AU - Bilal, Bora AU - Yağan, Özgür AU - Albayrak, Mahinur Demet AU - Akan Tunçtürk, Belgin AU - Göğüş, Nermin PY - 2019 DA - July Y2 - 2019 DO - 10.17517/ksutfd.571916 JF - Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi JO - KSU Medical Journal PB - Kahramanmaraş Sütçü İmam Üniversitesi WT - DergiPark SN - 1303-6610 SP - 80 EP - 84 VL - 14 IS - 2 LA - en AB - Objective. It was aimed to compare the efficacy of levobupivacaineand ropivacaine during transurethral resection of the prostate under spinalanesthesia.Material and Methods:In this prospective, randomized, double-blind trial, 40 patientsundergoing elective transurethral resection of the prostate under spinalanesthesia were randomized into two groups.0.75% levobupivacaine 7.5mg (Group I) and 0.75% ropivacaine 7.5mg (GroupII) were used intrathecally.Results: Therewere no differences the time for sensorial block to reach T10, maximumsensorial block level, the time to reach maximum block level, motor block levelat the end of surgery between the groups.The two-segment regression time was 53.75 ± 10.75 minutes in Group I and73.25 ± 15.50 minutes in Group II (p<0.000), the regression time to reachT12 was 70.25±17.05 minutes in Group I and 88.00 ± 20.42 in Group II(p<0.005), the duration of the motorblock was 60.75±36.93 minutes in Group I and 92.00±26.03 minutes in Group II(p<0.004). There was not any significant difference between groups withregard to hemodynamic data and side effects. Conclusions: This study showed that, low-dose levobupivacaine andropivacaine used in transurethral surgery have similar effects and deliverssufficient and reliable anesthesia. Use of ropivacaine constitutes an advantagesince the motor blockage level is shorter with it. As a result, it was concluded thatlow-dose ropivacaine and levobupivacaine used in transurethral surgery hadsimilar effects, provided adequate and reliable anesthesia, but ropivacaine wasan advantage because of the short duration of motor block. KW - Spinal anaesthesia KW - Transurethral resection of the prostate KW - Ropivacaine KW - Levobupivacaine N2 - Amaç: Çalışmamızda prostatıntransüretral rezeksiyon (TUR-P) cerrahisinde spinal anestezide kullanılanlevobupivakain ve ropivakainin etkinliklerinin karşılaştırılması amaçlandı.Gereç ve Yöntemler:Prospektif, randomize çift kör olarak ASA I-III risk grubunda 40 hastaçalışmaya dahil edildi. I. Grupta (n=20) intratekal aralığa % 0.75’lik levobupivakain7.5mg, ikinci grupta % 0.75 ‘lik ropivakain 7,5 mg verilerek spinal anesteziuygulandı. Bulgular: Gruplar arasındaduyusal bloğun T10’a ulaşma süreleri, maksimum blok seviyesi, maksimum bloğaulaşma süreleri, operasyon sonu motor blok seviyesi bakımından istatistikselolarak anlamlı fark yoktu. İki segment regresyon süresi, grup I’de 73,25 ±15,50 dk, Grup II’de 53,75 ± 10,75 dk, T12’ye regresyon süresi grup I’de 88,00± 20,42 dk, grup II’de 70,25±17,05 dk, motor blok süresi ise grup I’de 92,00±26,03dk, grup II’de 60,75±36,93 dk. bulundu. Hemodinamikveriler ve yan etkiler bakımından istatistiksel olarak anlamlı fark saptanmadı.Sonuç: Çalışmamızda; düşük doz levobupivakain veya ropivakain ileyapılan spinal anestezide TUR için yeterli duyusal ve motor blok sağlandı.Ropivakain grubunda motor blok süresi anlamlı olarak kısa bulundu. Sonuç olaraktransüretral cerrahide kullanılan düşük doz ropivakain ve levobupivakain’inbirbirine benzer etkilerinin olduğu, yeterli seviyede ve güvenilir anestezi sağladığı,ancak motor blok süresinin kısa olması nedeniyle ropivakain kullanılmasının biravantaj olduğu kanısına varıldı. CR - 1. 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