The incidence of transient neurologic symptoms (TNS) after spinal anaesthesia in patients undergoing surgery in the supine position. Hyperbaric lidocaine 5% versus hyperbaric bupivacaine 0.5%

Keld, Dorthe; Hein, Lars; Dalgaard, Marian; Krogh, L.; Rodt, S. Å.

doi:10.1034/j.1399-6576.2000.440311.x

Cited by 64 publications

(37 citation statements)

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“…[15] Hampl ve ark., [14] litotomi pozisyonunda opere edilen 270 obstetrik ve jinekolojik hastada, hiperbarik lidokain ile anestezi sonrası GNS insidansını %37 olarak bildirmiştir. Buna karşın, Keld ve ark., [23] aynı ajan kullanılan ve supin pozisyonu verilen hastalarda, GNS insidansını beklenilenden daha yüksek (%26) bulmuşlardır. Litotomi pozisyonunda %0 GNS oranları bildiren yayınlar da vardır.…”

Section: Discussionunclassified

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Transient neurological symptoms after spinal anesthesia

Çetin¹,

Kayacan

Karsli³

2018

Agri

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SummaryObjectives: Transient neurological symptoms (TNS) after spinal anesthesia vary from dysesthesia that is hardly noticed to severe pain. The aim of this study was to determine the incidence of TNS and provocative risk factors in 591 patients who underwent central block. Methods: Before the operation, demographic data and features of the operation and the block were recorded. The patients were evaluated at postoperative 24 and 48 hours and day 7 with regard to TNS in the form of pain (headache, lower back and/or limb pain, backache, pain in the puncture region) and sensation disorders (paresthesia, hypoesthesia, hyperesthesia, anesthesia, dysesthesia). Results: The incidence of TNS among the study patients was 35.7%. It was significantly higher in gynecology and urology patients and was higher in female patients in comparison with male patients. The incidence of TNS was greater when blood in the needle/catheter, pain, or paresthesia was seen, but was not associated with LA agents used in the study. Conclusion: A similar TNS incidence was seen in the results of this study as has been reported in the literature. A greater number of attempts, the lithotomy position, and co-morbidities such as ASHD and DM increase the incidence of TNS.Keywords: Regional anesthesia; TNS; sensation disorder. ÖzetAmaç: Santral blok sonrası gözlenen GNS, hastaların zorlukla farkına varabildikleri dizesteziden, çok şiddetli ağrıya kadar oldukça değişken ve geniş şikayetler dizisini içermektedir. GNS sıklığını ve potansiyelize eden risk faktörlerinin belirlenmesini amaçlayan bu çalışmaya, santral blok uygulanan 591 hasta dahil edildi. Gereç ve Yöntem: Operasyon öncesi hastaların demografik bilgileri, operasyon ve uygulanan blok türüne ait özellikler kaydedildi. Hastalar postoperatif 24, 48 saat ve 7. günde GNS olarak ağrı (başağrısı, bel ve/veya bacak ağrısı, sırt ağrısı, girişim yeri ağrısı) ve duyu kusurları (parestezi, hipoestezi, hiperestezi, anestezi, dizestezi) açısından değerlendirildi. Bulgular: Çalışmaya katılan hastalarda GNS sıklığı, %35.7 olarak hesaplanırken, bu oran KHD, üroloji hastalarında anlamlı olarak yüksekti. GNS, kadın hastalarda erkek hastalara göre anlamlı olarak fazla bulundu. Santral blok uygulamaları sırasında iğne/ kateterden kan gelmesi, ağrı ve parestezi varlığında, GNS insidansında artma izlenirken, kullanılan LA ajanlar arasında, GNS insidansında farklılık bulunmadı. Sonuç: Çalışmamızda literatür bilgileriyle benzer GNS oranları bulduk. Artan ponksiyon sayısı, litotomi pozisyonu, eşlik eden ASKH ve DM gibi komorbid durumlar GNS insidansını artırmaktadır.Anahtar sözcükler: Duyu kusuru; GNS; rejyonal anestezi. 58NISAN -APRIL 2018

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Section: Discussionunclassified

“…Keld ve ark. [23] 25 G iğne kullanarak yaptığı çalışmada, sırt ağrısı insidansı %19 olarak bildirilirken, Flaatten ve Raeder'in çalışmasında [47] %53, Brattebo ve ark. [48] yaptığı çalış-mada ise %21 olarak rapor edilmiştir.…”

Section: Discussionunclassified

Transient neurological symptoms after spinal anesthesia

Çetin¹,

Kayacan

Karsli³

2018

Agri

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“…Hyperbaric local anesthetics have been used for many years due to their short duration of action and the safety of the procedure 7 . Compared to plain solutions, hyperbaric solutions might provide a more predictable block with fewer side effects, such as high block, hypotension, nausea, vomiting, and pruritus 8 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of two regional anesthetic methods on the front limb of dogs using hyperbaric bupivacaine

2010

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PURPOSE: To evaluate the effects of bupivacaine 0.5 and 0.25% in intravenous regional anesthesia (IVRA) and brachial plexus block (BPB), respectively, on anesthesia, motor block and cardiovascular parameters in dogs. METHODS: Fourteen healthy adult dogs averaging 10 kilograms (kg) of body weight. Animals were randomly assigned to receive one of the two treatments IVRA (n=7) or BPB (n=7). All the animals were sedated with acepromazine (0.1 mg/kg intramuscular). To execute the BPB was used an electrical nerve stimulation. Anesthesia, motor block, sedation, cardiovascular and respiratory effects were measured as effect of the treatment. RESULTS: BPA showed superior efficiency and duration of anesthesia (BPB - 456 ± 94 minutes vs IVRA - 138 ± 44) as well as motor block. There only physiologic parameter which change were the systolic pressure in BPB and respiratory rate for both treatments. CONCLUSION: In dogs the 0.25 % hyperbaric bupivacaine in BPB produces a front limb anesthesia about three times more than the 0.5 % in IVRA, with ptosis of the limb blocked and little interference in the cardiovascular system but with decrease in respiratory rate.

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“…43 Bupivacaine as a viable alternative to lidocaine for spinal anaesthesia has been used frequently with very little incidence of TNS. 44 Onset of anaesthesia occurs in 8 min with a duration lasting from 210 to 240 min. Tetracaine has an onset of anaesthesia within 3 to 5 min and a duration of 210 to 240 min, and like bupivacaine, is used for cases that are intermediate to longer length.…”

Section: Historymentioning

confidence: 99%