The effects of sufentanil added to low-dose hyperbaric bupivacaine in unilateral spinal anaesthesia for outpatients undergoing knee arthroscopy
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2014
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada günübirlik diz artroskopisi uygulanan hastalarda düşük doz hiperbarik bupivakaine sufentanil eklenmesinin tek taraflı spinal anesteziye etkilerinin incelenmesi amaçlanmaktadır. Gereç ve Yöntem: 20-50 yaş arasında ASA fiziksel durumu I-II olan ve diz artroskopisi yapılması planlanmış 62 hasta çalışmaya dahil edildi. Hastalar iki gruba randomize edildi. 1 ml %0.5 hiperbarik bupivakain ile unilateral spinal anestezi Grup B’ ye (n=33) ve 0.5ml (2.5µg) sufentanilin 1 ml hiperbarik bupivakaine eklenmesi ile yapılan unilateral spinal anestezi Grup BS’ ye (n=29) uygulandı. Bulgular: İki grup arasında sosyodemografik değişkenler, hemodinamik parametreler, maksimum duysal, sempatik ve motor blok seviyeleri, motor blok çözünme zamanı ve taburculuğa kadar geçen süre açısından istatistiksel anlamlı farklılık gözlenmedi (p>0.05). İki grup arasında iki segment gerileme zamanı (Grup B: 52 dk, Grup BS: 59dk), ambulasyon zamanı (Grup B: 147 dk, Grup BS: 157 dk) ve ürinasyon zamanı (Grup B: 136 dk, Grup BS: 149 dk) açısından istatistiksel anlamlı farklılıklar vardı (p<0.05). Bu çalışmada Grup B’ de kaşıntı gözlenmezken, Grup BS’ de yedi hastada ameliyat sonrası kaşıntı gözlendi (p<0.05). Sonuç: Günübirlik artroskopi uygulanan tüm hastalara taburculuk süresini uzatmaksızın düşük doz hiperbarik bupivakaine sufen- tanil eklenmesi ile tek taraflı spinal anestezi başarıyla uygulanmıştır. Ancak, artroskopi gibi günübirlik girişimlerde, tek başına düşük doz hiperbarik bupivakain uygulamasının da yeterli olduğu sonucuna varılmıştır.
Summary Objectives: the aim of this study is to examine the effects of sufentanil added to low-dose hyperbaric bupivacaine in unilat- eral spinal anaesthesia for outpatients undergoing knee arthroscopy. Methods: Sixty two patients (ASA I-II) aged 20 to 50 who were planning on undergoing a knee arthroscopy were enrolled in this study. Patients were randomly divided into two groups. Unilateral spinal anaesthesia with 1ml 0.5% hyperbaric bupi- vacaine was administered to Group B (n=33); and unilateral spinal anaesthesia with 0.5ml (2.5µg) sufentanil added to 1ml hyperbaric bupivacaine was administered to Group BS (n=29). Results: There were no statistically significant differences observed between the groups in terms of demographic data, he- modynamic parameters, maximum sensorial, sympathetic and motor block levels, time to motor block resolution, and time of discharge (p>0.05). There were statistically significant differences between the groups in terms of two segments regression time (Group B=52 min., Group BS=59 min.), ambulation time (Group B=147 min., Group BS=157 min.) and urination time (Group B=136 min., Group BS=149 min.) (p<0.05). in this study, no itching was observed in Group B, whereas seven patients in Group BS were observed as having postoperative itching (p<0.05). Conclusion: All patients were successfully given unilateral spinal anaesthesia with sufentanil added to low-dose hyperbaric bupivacaine for an outpatient knee arthroscopy, without affecting the time of discharge. However, for one-day interventions such as arthroscopy, it was concluded that administration of only low-dose hyperbaric bupivacaine was sufficient.
Summary Objectives: the aim of this study is to examine the effects of sufentanil added to low-dose hyperbaric bupivacaine in unilat- eral spinal anaesthesia for outpatients undergoing knee arthroscopy. Methods: Sixty two patients (ASA I-II) aged 20 to 50 who were planning on undergoing a knee arthroscopy were enrolled in this study. Patients were randomly divided into two groups. Unilateral spinal anaesthesia with 1ml 0.5% hyperbaric bupi- vacaine was administered to Group B (n=33); and unilateral spinal anaesthesia with 0.5ml (2.5µg) sufentanil added to 1ml hyperbaric bupivacaine was administered to Group BS (n=29). Results: There were no statistically significant differences observed between the groups in terms of demographic data, he- modynamic parameters, maximum sensorial, sympathetic and motor block levels, time to motor block resolution, and time of discharge (p>0.05). There were statistically significant differences between the groups in terms of two segments regression time (Group B=52 min., Group BS=59 min.), ambulation time (Group B=147 min., Group BS=157 min.) and urination time (Group B=136 min., Group BS=149 min.) (p<0.05). in this study, no itching was observed in Group B, whereas seven patients in Group BS were observed as having postoperative itching (p<0.05). Conclusion: All patients were successfully given unilateral spinal anaesthesia with sufentanil added to low-dose hyperbaric bupivacaine for an outpatient knee arthroscopy, without affecting the time of discharge. However, for one-day interventions such as arthroscopy, it was concluded that administration of only low-dose hyperbaric bupivacaine was sufficient.
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