Izvorni znanstveni članak
https://doi.org/10.20471/acc.2022.61.s2.03
Clinical Effects of Hyperbaric Lidocaine and Bupivacaine in Spinal Anesthesia – our Experience
Ismet Suljević
; Association for Development of Medical Researches, Sarajevo, Bosnia and Herzegovina
Ismana Šurković
; University Clinical Center Sarajevo, Department of Thyroid Diseases and Metabolic Diseases of the Bones, Bosnia and Herzegovina
Maida Turan
; Public Institution Health Center of Sarajevo Canton, Bosnia and Herzegovina
Adnan Bajraktarević
; Public Institution Health Center of Sarajevo Canton, Bosnia and Herzegovina
Ehlimana Mušija
; University Clinical Center Sarajevo, Clinic for Cardiovascular Diseases and Rheumatism, Bosnia and Herzegovina
Omer Suljević
; Public Institution Health Center of Sarajevo Canton, Bosnia and Herzegovina
Sažetak
Introduction. Various side effects and complications in the perioperative period
can occur with the use of hyperbaric lidocaine and bupivacaine. Goal. Comparative presentation of
the occurrence of side effects and complications of hyperbaric lidocaine and bupivacaine during spinal
anesthesia in our patients. Methods. The study was retrospective and included 178 patients of both
sexes. Patients were divided into two groups. In Group I (n-98) hyperbaric lidocaine 5% was used for
spinal block. Group II (n-80) was divided into 2 subgroups, A- where hyperbaric Markain 0.5% was
used (n-51), and B (n-29) where hyperbaric Sensorkain 0.75% was used. In the study, we analyzed
gender, age, block onset, and complications. Results. There were 98 patients in Group I, 79 males and
19 females. There were 80 patients in Group II, 69 males and 11 females. The mean age of patients
in Group I was 44.96 and in Group II 48.16 years. There was no statistically significant difference
in the age of patients in both groups p> 0.05 (p = 0.2321). The occurrence of spinal block occurred
significantly faster in Group I compared to group II (p <0.0001), and in subgroup B faster than
in subgroup A (p <0.005). The clinical occurrence of complications and side effects during spinal
anesthesia is somewhat more common in spinal block with 5% lidocaine. Conclusion. The compared
incidence of adverse perioperative clinical effects and complications after administration of hyperbaric
lidocaine and bupivacaine in spinal anesthesia was not statistically significant.
Ključne riječi
Spinal anesthesia; Lidocaine; Bupivacaine; Perioperative complications
Hrčak ID:
284280
URI
Datum izdavanja:
1.9.2022.
Posjeta: 759 *