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Titolo:
Hyperbaric bupivacaine for spinal anaesthesia in 7-18 yr old children: comparison of bupivacaine 5 mg ml(-1) in 0.9% and 8% glucose solutions
Autore:
Kokki, H; Hendolin, H;
Indirizzi:
Kuopio Univ Hosp, Dept Anaesthesiol & Intens Care, FIN-70211 Kuopio, Finland Kuopio Univ Hosp Kuopio Finland FIN-70211 are, FIN-70211 Kuopio, Finland
Titolo Testata:
BRITISH JOURNAL OF ANAESTHESIA
fascicolo: 1, volume: 84, anno: 2000,
pagine: 59 - 62
SICI:
0007-0912(200001)84:1<59:HBFSAI>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANESTHESIA; SURGERY; SPREAD;
Keywords:
anaesthetic techniques, subarachnoid; anaesthetic local, bupivacaine; children; anaesthesia, paediatric; physics, baricity; complications, shivering; vomiting, nausea;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Kokki, H Kuopio Univ Hosp, Dept Anaesthesiol & Intens Care, POB 1777, FIN-70211 Kuopio, Finland Kuopio Univ Hosp POB 1777 Kuopio Finland FIN-70211 opio, Finland
Citazione:
H. Kokki e H. Hendolin, "Hyperbaric bupivacaine for spinal anaesthesia in 7-18 yr old children: comparison of bupivacaine 5 mg ml(-1) in 0.9% and 8% glucose solutions", BR J ANAEST, 84(1), 2000, pp. 59-62

Abstract

We have compared two hyperbaric bupivacaine solutions for spinal anaesthesia in 7-18-yr-old school-aged children in a double-blind, randomized, parallel group, prospective study. Children were premedicated with diazepam orally. Half of the patients were sedated with either midazolam or thiopental. After lumbar puncture with a 27-gauge spinal needle, bupivacaine 5 mg ml(-1) in either 0.9% or 8% glucose was injected in a dose of 0.3 mg kg(-1). Maximum cephalad spread and regression of block were tested by transcutaneous electrical stimulation. Success rate, spread and duration of sensory block were similar in both groups. The highest median level of sensory block was T4 (10-90th percentiles T1-T7) in the 0.9% glucose group and T4 (T1-T5) in the 8% glucose group. Time to two segment regression of block was 83 (50-143) min in the 0.9% glucose and 85 (53-150) min in the 8% glucose group. Theincidence of adverse effects was similar. Six children were given etilefrin to treat hypotension and six atropine for bradycardia. Nausea was associated with a high level of block. Shivering was detected in 16 children.

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Documento generato il 01/10/20 alle ore 14:51:22