Objective: We aimed to compare the effects of general anaesthesia versus combined spinal epidural anaesthesia on maternal haemodynamic variables and APGAR scores and umblical vein blood gas parameter of newborns. Study design: After the approval from Medical Ethics Committee and written informed consent, 30 parturients undergoing caesarean section operation, randomly allocated to receive either general anaesthesia (in Group GA) (n:15) or combined spinal epidural anaesthesia (Group CSEA) (n:15) were included the study. Non invasive arterial blood pressure, heart rate and peripheral oxygen saturation values were recorded before anaesthesia (baseline) and thereafter with 5 min intervals until at the end of surgical procedure. Following delivery, a segment of the umblical cord was doubtly clamped and umblical vein blood gas samples were taken and APGAR scores were recorded at 1 and 5 min. Results: Mean arterial blood pressure (MBP) and heart rate (HR) values were significantly higher in Group CSEA compared to Group GA at 5th min (p
ethods: After the approval from Ethics Committee of our Hosital and written informed consent, 90 patients in ASA I-II aged 8-60 years undergoing hand and forearm surgery were enrolled he study. After premedication with iv midazolam (0.02 mg/kg) xillary block performed with 50 mm 22 gauge needle (Stimuplex .Braun) using nerve stimulation technique. Patients were ranomized into 3 groups and receive 0.5% levobupivacaine 40 ml in roup I (n 30) or 40 ml 0.5% ropivacaine in Group II (n 30) or 0 ml 0.5% bupivacaine in Group III (n 30). Onset of anaesthesia, ensory and motor block characteristics and haemodynamic paramters were recorded before and 5,7,10,20,30,60,120,180 min after ocal anaesthetic injection. Student’s t test and ANOVA were used or istatistical analysis. p 0.05 was considered significant.
ethods: Our study was prospective, randomized and double linded. After the approval from Ethics Committee of our Hospital nd written informed consent of the patients, sixty patients who nderwent on arthroscopic surgery under general anesthesia were andomized into three groups. Total 20 ml of study volume was eperated to two portions as; 7 ml was given infiltrated cutaneous nd subcutaneously at the beginning of the surgery and 13 ml was iven intraarticular at the end of the surgery. Study drugs were as .9 % NaCl solution in Group C, 0.5 % levobupivacaine in Group and 0.5 % bupivacaine in Group B. Postoperative pain was ssessed by using a Visual Analogue Scale (VAS) at postoperative .,2.,4.,8. and 24. hours. Supplemental analgesia was provided ith oral diclofenac sodium tablets.
ethods: After the approval from Ethics Committee of our Hosital and written informed consent, 50 patients in ASA I-II aged 8-60 years undergoing hand and forearm surgery were enrolled he study. After premedication with iv midazolam (0.02 mg/kg), xillary block was performed with 50 mm 22 gauge needle (Stimulex D. Braun) using nerve stimulation technique. Patients were andomized into two groups and received 0.5% levobupivacaine 40 l 2 ml 0.9% NaCl solution in Group I (n 25) or 40 ml 0.5% evobupivacaine 8 mg dexamethasone (2 ml) in Group II n 25). Onset of anaesthesia, sensory and motor block characterstics and haemodynamic parameters were recorded before and ,7,10,20,30,60,120,180. min after local anaesthetic injection. Stuent’s t test and ANOVA were used for istatistical analysis, p 0.05 onsidered significant.
Background and Aims: Combined epidural spinal anesthesia has gained increasing interest as it combines the reliability of spinal block and the flexibility of epidural block. The mecanism of epidural top-up technique may be explained by a volume effect compressing te dural sac. This study was designed to investigate the influence of saline injections as epidural top-up on the sensory and motor block duration, quality and hemodynamic effects of spinal anesthesia.
MATERIALS AND METHODS: After ethics committee approval and patient informed consent, 30 healthy women older than 18, with singleton pregnancy at term, scheduled for elective CS randomized into two groups. Baseline recordings of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), SPO2 were made. All patients were given 10 ml/kg of crystalloid infusion before anesthesia. In group 1 (GA), patients received standard sevoflurane anesthesia. In group 2, CSEA were performed in the left lateral decubitus position at L3-4 level. Ephedrin 5mg was added to the infusion solution. Patients received intrathecal 10 g of fentanyl with 5 mg 0.5% hyperbaric bupivacaine in 2 ml. An additional 3 ml 7.5% ropivacaine top-ups were given at 15 minutes if target sensory level (T4) was not reached.