Spinal anaesthesia for pilonidal cyst-sinus operations in prone position: Bupivacaine versus levobupivacaine

Cuvas, O.; Güleç, Handan; Karaaslan, M.; Başar, Hülya

doi:10.1097/00003643-200805001-00378

Cited by 11 publications

(19 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a previous study on patients who underwent urologic surgery, spinal anesthesia with hyperbaric bupivacaine 12 mg with 3 µg of dexmedetomidine or 30 µg of clonidine provided effective anesthetic effect with preserved hemodynamic stability [37]. Other studies showed that spinal anesthesia using levobupivacaine also offered sufficient anesthetic effect during transurethral surgery [38,39]. However, spinal anesthesia could not prevent obturator nerve reflex, and obturator nerve block (ONB) is required to prevent obturator nerve reflex.…”

Section: Transurethral Resection Of Bladder Cancermentioning

confidence: 99%

Anesthetic considerations for urologic surgeries

Koo

Ryu

2020

Korean J Anesthesiol

View full text Add to dashboard Cite

Urologic surgeries are widely performed, and the cases have increased owing to the fact that the elderly population is growing. The narrow and limited surgical space is a challenge in performing most urologic surgeries. Additionally, the elderly population is exposed to the risk of perioperative complications; therefore, a comprehensive understanding and approach are required to provide optimized anesthesia during surgery. We have searched the literature on anesthesia for urologic surgeries and summarized the anesthetic considerations for urologic surgeries.

show abstract

Section: Transurethral Resection Of Bladder Cancermentioning

confidence: 99%

Anesthetic considerations for urologic surgeries

Koo

Ryu

2020

Korean J Anesthesiol

View full text Add to dashboard Cite

show abstract

“…[3] Levobupivacaine hydrochloride is the pure S(-)-enantiomer of racemic bupivacaine and is less toxic to the heart and central nervous system. [4,5] The present study was designed to compare the effects of racemic Bupivacaine + Fentanyl and Levobupivacaine + Fentanyl on the complete regression of motor block, onset time to reach T 10 level sensory block, duration of T 10 level sensory block, onset time of motor block, duration of sensory block (regression time to S 1 dermatome level). Exclusion criteria: Patients with serious CNS disorders, psychiatric disorders, decompensated cardiopulmonary disease, blood volume deficits, coagulopathy, peripheral neuropathies, infection at injection site, hypersensitivity to amide local anaesthetics and Fentanyl, unwilling patients were excluded from the study.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Racemic Bupivacaine and Levobupivacaine; combined with low dose Fentanyl, through Intrathecal Route for Transurethral Resection of Prostate

Chandra

Brahma

2018

IJCBR

View full text Add to dashboard Cite

Background and Objectives: Bupivacaine is available as a racemic mixture of dextro and levobupivacaine. Many studies show that dextrobupivacaine has greater cardiovascular and central nervous system toxicity than levobupivacaine. The objectives of the present study were to compare the effects of racemic Bupivacaine + Fentanyl and Levobupivacaine + Fentanyl on the complete regression of motor block, onset time to reach T10 level sensory block, duration of T10 level sensory block, onset time of motor block, duration of sensory block.Materials and Method: The study was conducted in 100 patients undergoing transurethral resection of prostate operation, who received either 1.75 ml Bupivacaine (0.5%) + 25 µg Fentanyl (Gr A) or 1.75 ml Levobupivacaine (0.5%) + 25 µg Fentanyl (Gr B) intrathecally.Results: Time to complete regression of motor block, onset time toT10 level sensory block were significantly prolonged in Gr A compared to Gr B. The onset time of motor block was significantly shorter in Gr A compared to Gr B. There was no statistically significant difference between the two groups in respect to the duration of T10 level sensory block, duration of sensory block.Conclusion: Intrathecal Levobupivacaine + Fentanyl used in the present study can be considered as a suitable alternative to Bupivacaine + Fentanyl for spinal anaesthesia in elective TURP surgery.

show abstract

“…Levobupivacaine, the s (−) enantiomer of bupivacaine, is a newer drug, and although it has similar pharmacokinetic properties compared with racemic bupivacaine, the studies conducted have attempted to determine that the cardiovascular side effects of levobupivacaine were less (6,7). Although some of these studies have indicated that the hemodynamic and anesthetic effects were similar with bupivacaine, some of them have suggested different arguments (6)(7)(8). Even though the studies were mostly conducted on ECG results, there are also studies determined that biochemical parameters could also be used.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of levobupivacaine and bupivacaine cardiotoxicities by correlation of Brain Natriuretic Peptide protein values and arterial pressures

Ökmen

Göğüş

2018

ijmsci

View full text Add to dashboard Cite

Abstract:Objectives: The aim of the present study was to determine the cardiotoxic effects of the intrathecal and epidural administration of bupivacaine and levobupivacaine by investigating whether there is a correlation between the brain natriuretic peptide (BNP) protein levels and the arterial pressure. Methods: In this prospective, randomized, double-blinded, 30 patients aged 25-70 years, who were undergo total knee arthroplasty surgery, were randomized into 2 groups. In Group 1 (n=15): levobupivacaine was applied and Group 2 (n = 15) bupivacaine was applied. Primary outcome measures includes BNP protein levels (at after injection 10th minute and postoperative 24th hour), systolic arterial pressure (SAP), diastolic arterial pressure (DAP), mean arterial pressure (MAP) (at preoperative, after injection 10th minute and postoperative 24th hour) was examined. Results: In both groups, there was no statistically significant correlation between the BNP levels and the SAP, DAP and MAP value 10 minutes after the administration of combined spinal-epidural anesthesia and at the 24th hour (p>0.05) Conclusions: We think that the cardiac effects associated with the hypotensive effects of local anesthetics cannot be revealed with the BNP. Moreover, our study results suggest that both drugs are not cardiotoxic when administered with combined epidural spinal anesthesia.

show abstract

Spinal anaesthesia for pilonidal cyst-sinus operations in prone position: Bupivacaine versus levobupivacaine

Cited by 11 publications

References 0 publications

Anesthetic considerations for urologic surgeries

Anesthetic considerations for urologic surgeries

Comparison of Racemic Bupivacaine and Levobupivacaine; combined with low dose Fentanyl, through Intrathecal Route for Transurethral Resection of Prostate

Evaluation of levobupivacaine and bupivacaine cardiotoxicities by correlation of Brain Natriuretic Peptide protein values and arterial pressures

Contact Info

Product

Resources

About