Acta clinica Croatica, Vol. 60. No. 1., 2021.
Izvorni znanstveni članak
https://doi.org/10.20471/acc.2021.60.01.10
The Effects of Patient Position on Early Complications of Spinal Anesthesia Induction in Arthroscopic Knee Surgery
Esra Kongur
; 1Department of Anesthesiology and Resuscitation, Kanuni Education and Research Hospital, Trabzon, Turkey
Sedat Saylan
; Karadeniz Technical University Faculty of Medicine, Department of Anesthesiology and Intensive Care Medicine, Trabzon, Turkey
Ahmet Eroğlu
; Karadeniz Technical University Faculty of Medicine, Department of Anesthesiology and Intensive Care Medicine, Trabzon, Turkey
Sažetak
Spinal anesthesia is widely used in different patient positions to create efficient
and rapid anesthesia induction in surgical interventions. Early and late complications of spinal anesthesia
may vary according to the type of needle, drug dose and concentration, patient weight and
height, puncture technique, and position of the patient. This study aimed to prospectively compare
early complications of spinal anesthesia between patients in sitting and lateral decubitus positions
with motor block onset time and sensory block time to T10 level. Spinal anesthesia was performed in
100 ASA I-II patients aged 18-65 years (group S=48; and group L=52) undergoing arthroscopic knee
surgery. Hemodynamic data, early complications, sensory and motor block onset times were recorded.
Systolic, diastolic and mean arterial pressures were significantly lower in lateral decubitus position as
compared to sitting position after spinal anesthesia induction. Arterial blood pressure values decreased
significantly in lateral decubitus position as compared with sitting position. Motor block onset time
and sensory block onset time were shorter in lateral decubitus position than in sitting position.
Accordingly,
sitting position could be suggested during induction of spinal anesthesia because it was
associated with less pronounced decrease in blood pressures.
Ključne riječi
Spinal anesthesia; Induction patient position; Lateral decubitus position; Sitting position; Early complications
Hrčak ID:
259845
URI
Datum izdavanja:
1.3.2021.
Posjeta: 1.396 *