The Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position
Joint Authors
Ciftci, Taner
Kepekci, Ali Bestemi
Yavasca, Hatice Pınar
Daskaya, Hayrettin
İnal, Volkan
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-29
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Obesity has a significant effect on the cephalic spread of a spinal block (SB) due to a reduction in cerebrospinal fluid (CSF).
SB is controlled by the tissue blood flow in addition to the CSF.
Some positions and techniques of surgery used can cause changes in hemodynamics.
We investigated effects of hemodynamic changes that may occur during Transurethral prostate resection (TUR-P) and lithotomy position (LP) at the SB level in obese versus nonobese individuals.
Sixty patients who had undergone TUR-P operation under spinal anesthesia were divided into a nonobese (BMI<25 kg/m2, Group N) or obese (BMI≥30 kg/m2, Group O) group.
SB assessments were recorded afterthe LP.
SB at 6 and 120 min and the peak SB level were compared between two groups.
Hemodynamics were recorded after LP.
Peak and 6 min SB levels were similar between the groups, while 120 min SB levels were significantly higher for Group O (P<0.05).
Blood pressure (BP) after the LP was significantly higher for Group N (P<0.05).
LP and TUR-P increased the BP in Group N when compared to Group O.
The increase in hemodynamics enhances the blood flow in the spinal cord and may form similar SB levels in nonobese patients to those in obese patients.
However, SB time may be longer in obese patients.
American Psychological Association (APA)
Ciftci, Taner& Kepekci, Ali Bestemi& Yavasca, Hatice Pınar& Daskaya, Hayrettin& İnal, Volkan. 2015. The Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position. BioMed Research International،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1055524
Modern Language Association (MLA)
Ciftci, Taner…[et al.]. The Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position. BioMed Research International No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1055524
American Medical Association (AMA)
Ciftci, Taner& Kepekci, Ali Bestemi& Yavasca, Hatice Pınar& Daskaya, Hayrettin& İnal, Volkan. The Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1055524
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055524