Comparison of the effects of %0.5 bupivacaine and %0.5 levobupivacaine used for epidural anesthesia on QT dispersion and haemodynamy

Küçük Resim Yok

Tarih

2010

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Dergi ISSN

Cilt Başlığı

Yayıncı

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Objective: The aim of this study was to compare the hemodynamic variables and QT dispersion effects of 05% bupivacaine and 0.5% levobupivacaine using epidural via. Methods: Sixty patients scheduled for operation under epidural anesthesia were included to this study. The patients were randomized into two groups; 15 mL of 0.5% bupivacaine was given to Group B patients (n=30) and 15 mL of 0.5% levobupivacaine was given to Group L patients (n=30). Systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate, saturation of peripheral oxygen, respiratory rate and side-effects were recorded during perioperative period. Postoperatively, motor blockade recovery time was assessed at 30-minute inten'als and total motor blockade time was recorded. ECG was recorded at preoperatively, at 30 minutes after first epidural anesthetic and postoperatively 24-hour and was assessed by a cardiologist. Results: Motor blockade and total blockage time were found to be longer in Group B (p<0.05). Mean blood pressure at the 180th minute was found to be decreased in Group B (p<0.05). The longest corrected QT interval and the shortest corrected QT interval were increased in Group B (p<0.05). Incidence of hypotension was higher in Group B (p<0.05). Conclusion: Levobupivacaine can be preferred to bupivacaine in patients having cardiac problem and when less motor blockade is desired.

Açıklama

Anahtar Kelimeler

Bupivacaine; Electrocardiogram pattern; Hemodynamics; Levobupivacaine

Kaynak

Anestezi Dergisi

WoS Q Değeri

Scopus Q Değeri

Q4

Cilt

18

Sayı

3

Künye