Hemodynamic effects of bupivacaine and ropivacaine in cesarean section

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dc.authorscopusid7006384185
dc.authorscopusid55942251200
dc.authorscopusid55898201200
dc.authorscopusid8861779800
dc.authorscopusid6603402358
dc.authorscopusid57217244833
dc.authorscopusid7004486274
dc.contributor.authorÖztürk E.
dc.contributor.authorBut A.
dc.contributor.authorGülhaş N.
dc.contributor.authorBegeç Z.
dc.contributor.authorDo?an Z.
dc.contributor.authorYapici E.
dc.contributor.authorErsoy M.Ö.
dc.date.accessioned2024-08-04T20:02:10Z
dc.date.available2024-08-04T20:02:10Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: Local anesthetics for spinal aneaesthesia, provides a comfortable anaesthesia with their sensorial and motor block effect. However symphatic block causes hypotension in patients and this hypotension may cause nausea, vomiting and decrease in uterine blood flow, The purpose of this study is to compare the hemodynamic effects of equivalent doses of each ropivacainc and bupivaciane given intratecally in combination with fentanyl for elective cesarean section. Materials and Methods: Tthirty-six ASA I-II patients undergoing elective cesarean section were enrolled the study. After administration of 15 mL kg ringers lactate on sitting position combined spinal-epidural anesthesia performed. Patients randomly allocated in group B (n=18) (bupivacaine heavy 11 mg) and group R (n=18) (ropivacaine heavy 11 mg) and 25 ?g Fentanyl added to local anesthetics. Systolic arterial pressure (SAP), heart rate (HR) and sensorial block levels were recorded during the operation. Ephedrine infusion was used to obtaining a stable hemodynamia during the operation. Results: Total ephedrine infusion and total ephedrine consumption was greater in group R than in group B (p<0.01). SAP values at 2, 4, 6, 8, 10 min in Group B were significantly lower than baseline value (p<0.05). HR values at 2, 4, 6, 8, min in Group R were significantly higher compared to the baseline value (p<0.05). HR values were significantly higher than baseline value at all times except HR 20 in group B. Mean sensorial block level was (T6) in Group R and (T4) in Group B (p=0.001). Additional local anesthetic was administered the 8 patients in only group R through epidural catheter (p=0,001). No patients in group B needed to additional local anesthetics Conclusion: Lower sensorial block levels were obtained with ropivacaine when compared to the similar doses of bupivacaine. It was concluded that bupivacaine is more potent than ropivacaine in spite of opioid addition.en_US
dc.identifier.endpage360en_US
dc.identifier.issn1304-0871
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-33846858408en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage355en_US
dc.identifier.urihttps://hdl.handle.net/11616/91445
dc.identifier.volume34en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherAVES İbrahim KARAen_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBupivacaineen_US
dc.subjectCesarean sectionen_US
dc.subjectRopivacaineen_US
dc.subjectSpinal anesthesiaen_US
dc.titleHemodynamic effects of bupivacaine and ropivacaine in cesarean sectionen_US
dc.title.alternativeSezaryenlerde bupivakain ve ropivakainin hemodinami üzerine etkilerien_US
dc.typeArticleen_US

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