The comparison of levobupivacaine in continuous or single dose spinal anesthesia for transurethral resection of prostate surgery

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dc.authoridozkocak turan, isil/0000-0002-0405-0107
dc.authoridYurtlu, Serhan/0000-0003-3020-1586
dc.authoridErdogan Kayhan, Gulay/0000-0002-2635-9295
dc.authoridHanci, Volkan/0000-0002-2227-194X
dc.contributor.authorBaydilek, Yunus
dc.contributor.authorYurtlu, Bulent Serhan
dc.contributor.authorHanci, Volkan
dc.contributor.authorAyoglu, Hilal
dc.contributor.authorOkyay, Rahsan Dilek
dc.contributor.authorKayhan, Gulay Erdogan
dc.contributor.authorTokgoz, Husnu
dc.date.accessioned2025-01-27T20:27:16Z
dc.date.available2025-01-27T20:27:16Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: The aim of the study is to compare the efficacy of levobupivacaine induced continuous spinal anesthesia (CSA) versus single dose spinal anesthesia (SDSA) in patients who are planned to undergo transurethral prostate resection. Methods: Sixty years or older, ASA I-II or III, 50 patients were included in the study. 12.5 mg 0.5% levobupivacaine were administered intrathecally in SDSA group. In CSA group, initially 2 mL of 0.25% levobupivacaine were administered through spinal catheter. In order to achieve sensory block level at 110 dermatome, additional 1 mL of 0.25% levobupivacaine were administered through the catheter in every 10 min. Hemodynamic parameters and block characteristics were recorded. Preoperative and postoperative blood samples of the patients were drawn to determine plasma cortisone and plasma epinephrine levels. Results: CSA technique provided better hemodynamic stability compared to SDSA technique particularly 90 min after intrathecal administration. The rise in sensory block level was rapid and the time to reach surgical anesthesia was shorter in SDSA group. Motor block developed faster in SDSA group. In CSA group, similar anesthesia level was achieved by using lower levobupivacaine dose and which was related to faster recovery. Although, both techniques were effective in preventing surgical stress respond, postoperative cortisone levels were suppressed more in SDSA group. Conclusion: CSA technique with 0.25% levobupivacaine can be used as a regional anesthesia method for elderly patients planned to have TUR-P operation. (C) 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.
dc.identifier.doi10.1016/j.bjane.2013.03.007
dc.identifier.endpage97
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.issue2
dc.identifier.pmid24794450
dc.identifier.scopus2-s2.0-84925395109
dc.identifier.scopusqualityN/A
dc.identifier.startpage89
dc.identifier.urihttps://doi.org/10.1016/j.bjane.2013.03.007
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22639
dc.identifier.volume64
dc.identifier.wosWOS:000337101400004
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofRevista Brasileira De Anestesiologia
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectLevobupivacaine
dc.subjectContinuous spinal
dc.subjectanesthesia
dc.subjectSpinal anesthesia
dc.subjectTransurethral
dc.subjectprostate resection
dc.titleThe comparison of levobupivacaine in continuous or single dose spinal anesthesia for transurethral resection of prostate surgery
dc.title.alternativeComparação de levobupivacaína em raquianestesia contínua ou com dose única para cirurgia de ressecção transuretral de próstata
dc.typeArticle

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