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Med J Bakirkoy. 2014; 10(2): 57-61

Comparison of the efficacy of intrathecal bupivacaine and levobupivacaine in artroscopic knee surgery

Dilek Altun, Güray Demir, Halil Çetingök, Evrim Küçür Tülübaş, Zafer Çukurova.

Objective: In our study, we aimed to compare the degree of sensorial and motor block efficiency of intratechal bupivacaine and levobupivacaine in artroscopic knee surgery.
Materials and methods: ASA I-III 100 patients, were divided in two groups. Spinal anesthesia was achieved with 10 mg of bupivacaine 0.5% in Group BPV and 10 mg of levobupivacaine 0.5% in Group LVB. Sensorial block increment time of T10, maximum level of sensorial block, maximum level of motor block and its formation time, total motor and sensorial block time, pain degree with VAS, complications and side effects were recorded.
Results: The sensorial block incerement time of T10 was shorter in group BPV, the time of sensorial block was longer. Group LVB increment time of T10, increment time of maximum upper dermatome and the increment time of maximum motor block levels were higher in Group BPV than the Group LVB (p

Key words: Bupivacaine, levobupivacaine, spinal anesthesia, artroscopic knee surgery

Artroskopik diz cerrahisinde intratekal bupivakain ve levobupivakainin etkinliklerinin karşılaştırılması

Amaç: Çalışmamızda, artroskopik diz cerrahisinde intratekal uygulanan bupivakain (BPV) ve levobupivakainin (LVB) duyusal ve motor blok derecesi ve sürelerini karşılaştırmayı amaçladık.
Gereç ve Yöntem: ASA I-III 100 hasta 2 gruba ayrıldı. Spinal anestezi Grup BPV’de 10 mg %0.5 bupivakain, Grup LVB’de 10 mg %0.5 levobupivakain ile yapıldı. Duyusal bloğun T10 dermatomuna ulaşma süresi, maksimum duyusal blok seviyesi, motor blok derecesi ve ulaşma süresi, duyusal ve motor blok süreleri, VAS ile ağrı derecesi, yan etki ve komplikasyonlar değerlendirildi.
Bulgular: Duyusal bloğun T10 dermatomuna ulaşma süresi grup BPV’de daha kısa, duyusal blok süresi daha uzundu. Grup LVB’nin T10’a ulaşma süresi, maksimum üst dermatoma, maksimum motor blok derecesine ulaşma süresi Grup BPV’den yüksek bulundu (p

Anahtar Kelimeler: Bupivakain, levobupivakain, spinal anestezi, artroskopik diz cerrahisi

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