Low-dose ropivacaine or levobupivacaine walking spinal anesthesia in ambulatory inguinal herniorrhaphy

Taspinar, Vildan; Şahin, Altan; Donmez, N.F.; Pala, Y.; Selçuk, Aydın; Özcan, Murat; Dikmen, Bayazıt

doi:10.1007/s00540-010-1089-9

Cited by 9 publications

(7 citation statements)

References 24 publications

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“…The results of the present study were similar to those of previous works with regard to hemodynamic stability, onset time of analgesia, and duration of sensorial block [ 18 , 19 , 20 , 23 ]. The development of motor block was reported by three studies [ 18 , 19 , 21 ]; however, it was not seen in any patient in our study, likely due to our use of lower drug volumes and concentrations.…”

Section: Discussionsupporting

confidence: 91%

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Epidural anesthesia for pilonidal sinus surgery: ropivacaine versus levobupivacaine

Orhon

Koltka

Devrim

et al. 2015

Korean J Anesthesiol

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BackgroundEpidural anesthesia is one of the best options for lower abdominal and lower limb surgery. However, there have been insufficient reports regarding the use of epidural anesthesia for pilonidal sinus surgery. The present study was performed to compare the clinical profiles of epidural block performed with 0.75% levobupivacaine and 0.75% ropivacaine in this procedure.MethodsThirty patients undergoing pilonidal sinus surgery were randomly allocated into two groups: one group received levobupivacaine and the other received ropivacaine at 0.75% in a volume of 10 ml. Arterial blood pressure, heart rate, oxygen saturation, the onset time of analgesia and duration of block, highest sensory block level, perioperative and postoperative side effects, and patients' and surgeons' satisfaction were recorded.ResultsHemodynamic stability was maintained in both groups throughout surgery. The onset time of analgesia (the time from epidural injection of local anesthetic to reach L2 sensorial block) was 6.26 ± 3.49 min in the levobupivacaine group and 4.06 ± 1.75 min in the ropivacaine group (P = 0.116). The duration of sensorial block (time for regression of sensory block to L2) was 297.73 ± 70.94 min in group L and 332.40 ± 102.22 min in group R (P = 0.110). Motor block was not seen in any of the patients in the study groups. Patients' and surgeons' satisfaction with the anesthetic technique were mostly excellent in both groups.ConclusionsIn patients undergoing pilonidal sinus surgery, both levobupivacaine and ropivacaine produce rapid and excellent epidural block without leading to motor block or significant side effects. Although not statistically significant, the onset time of anesthesia was shorter and the duration of effect was longer with ropivacaine than with levobupivacaine in this study.

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Section: Discussionsupporting

confidence: 91%

“…In another study, Taspinar et al [ 23 ] compared equipotent doses of ropivacaine and levobupivacaine regarding discharge criteria and the characteristics of spinal anesthesia in inguinal herniorrhaphy surgery. Combined spinal-epidural anesthesia was performed.…”

Section: Discussionmentioning

confidence: 99%

Epidural anesthesia for pilonidal sinus surgery: ropivacaine versus levobupivacaine

Orhon

Koltka

Devrim

et al. 2015

Korean J Anesthesiol

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“…Taspinar et al [25] compared equipotent doses of ropivacaine and levobupivacaine regarding walk-out criteria and the characteristics of spinal anesthesia in inguinal herniorrhaphy surgery. Similar to our results, they found sensory block onset time was significantly shorter in the levobupivacaine group.…”

Section: Discussionmentioning

confidence: 99%

A comparison of spinal anesthesia characteristics following intrathecal bupivacaine or levobupivacaine in lumbar disc surgery

et al. 2013

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Our results showed that block recovery time was shorter in the levobupivacaine group, this may be a disadvantage for longer operative procedures. But with proper patient selection this can be eliminated. Recovery time was shorter in levobupivacaine group. Therefore, postoperative neurological examination can be done earlier. In addition, early mobilization can be an advantage for postoperative recovery.

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“…Taspinar and et al stated that there had not been a statistically significant difference between levobupivacaine and ropivacaine groups in terms of systolic arterial pressures, diastolic arterial pressures, mean arterial pressures and heart rate values in their studies by which they compared 25g Fentanyl+ levobupivacaine of 0,75 % and 25g Fentanyl+ ropivacaine 0, 5 % in urological surgical procedures under spinal anesthesia (15).…”

Section: Comparison Of Complications Between the Groups(n / %)mentioning

confidence: 99%

Transüretral Cerrahide Spinal Anestezide Ropivakain ve Levobupivakainin Karşılaştırılması

Bilal

Yağan

Albayrak

et al. 2019

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Objective. It was aimed to compare the efficacy of levobupivacaine and ropivacaine during transurethral resection of the prostate under spinal anesthesia. Material and Methods:In this prospective, randomized, double-blind trial, 40 patients undergoing elective transurethral resection of the prostate under spinal anesthesia were randomized into two groups. 0.75% levobupivacaine 7.5mg (Group I) and 0.75% ropivacaine 7.5mg (Group II) were used intrathecally.Results: There were no differences the time for sensorial block to reach T10, maximum sensorial block level, the time to reach maximum block level, motor block level at the end of surgery between the groups. The two-segment regression time was 53.75 ± 10.75 minutes in Group I and 73.25 ± 15.50 minutes in Group II (p<0.000), the regression time to reach T12 was 70.25±17.05 minutes in Group I and 88.00 ± 20.42 in Group II (p<0.005), the duration of the motor block 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 with regard to hemodynamic data and side effects. Conclusions:This study showed that, low-dose levobupivacaine and ropivacaine used in transurethral surgery have similar effects and delivers sufficient and reliable anesthesia. Use of ropivacaine constitutes an advantage since the motor blockage level is shorter with it. As a result, it was concluded that low-dose ropivacaine and levobupivacaine used in transurethral surgery had similar effects, provided adequate and reliable anesthesia, but ropivacaine was an advantage because of the short duration of motor block. ÖzAmaç: Çalışmamızda prostatın transüretral rezeksiyon (TUR-P) cerrahisinde spinal anestezide kullanılan levobupivakain ve ropivakainin etkinliklerinin karşılaştırılması amaçlandı. Gereç ve Yöntemler:Prospektif, randomize çift kör olarak ASA I-III risk grubunda 40 hasta çalışmaya dahil edildi. I. Grupta (n=20) intratekal aralığa % 0.75'lik levobupivakain 7.5mg, ikinci grupta % 0.75 'lik ropivakain 7,5 mg verilerek spinal anestezi uygulandı.Bulgular: Gruplar arasında duyusal bloğun T10'a ulaşma süreleri, maksimum blok seviyesi, maksimum bloğa ulaşma süreleri, operasyon sonu motor blok seviyesi bakımından istatistiksel olarak 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±26,03 dk, grup II' de 60,75±36,93 dk. bulundu. Hemodinamik veriler ve yan etkiler bakımından istatistiksel olarak anlamlı fark saptanmadı. Sonuç: Çalışmamızda; düşük doz levobupivakain veya ropivakain ile yapılan spinal anestezide TUR için yeterli duyusal ve motor blok sağlandı. Ropivakain grubunda motor blok süresi anlamlı olarak kısa bulundu. Sonuç olarak transüretral cerrahide kullanılan düşük doz ropivakain ve levobupivakain'in birbirine benzer etkilerinin olduğu, yeterli seviyede ve güvenilir anestezi sağladığı, ancak motor blok süresinin kısa olması nedeniyle ...

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Low-dose ropivacaine or levobupivacaine walking spinal anesthesia in ambulatory inguinal herniorrhaphy

Cited by 9 publications

References 24 publications

Epidural anesthesia for pilonidal sinus surgery: ropivacaine versus levobupivacaine

Epidural anesthesia for pilonidal sinus surgery: ropivacaine versus levobupivacaine

A comparison of spinal anesthesia characteristics following intrathecal bupivacaine or levobupivacaine in lumbar disc surgery

Transüretral Cerrahide Spinal Anestezide Ropivakain ve Levobupivakainin Karşılaştırılması

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