effects of opium addiction on level of sensory block in spinal anesthesia with bupivacaine for lower abdomen and limb surgery: a case-control study
نویسندگان
چکیده
background in clinical practice, the level of sensory block in spinal anesthesia in opium abusers is lower than that in non-abusers because of adaptive changes caused by opium use. objectives the aim of this study was to investigate the level of sensory block resulting from the intrathecal administration of 0.5% bupivacaine in opium abuser patients undergoing lower extremity and lower abdominal surgeries. patients and methods a total of 100 patients who were candidates of elective lower extremity orthopedic and lower abdominal surgeries were recruited and assigned to two groups based on their history of opium addiction (case or control). both groups underwent the same anesthesia procedure and pinprick test was used to assess the level of anesthesia. results no statistically significant difference was observed between groups regarding age, duration of the surgery, and type of surgery. the frequency of addiction was higher in males than in females. the level of sensory block at three minutes was significantly lower in the opium abuser group (p = 0.006). the mean time to achieve t10 sensory block was 10.33 ± 5.79 minutes in the opium abusers and 6.89 ± 3.88 minutes in the controls (p = 0.001). the level of the highest sensory block was lower in the opium abuser group (p = 0.002). conclusions the findings of this study suggested that after induction of spinal anesthesia with intrathecal administration of bupivacaine, chronic opium abusers would have a lower level of sensory block in comparison with patients without a history of opium abuse.
منابع مشابه
Effects of Opium Addiction on Level of Sensory Block in Spinal Anesthesia With Bupivacaine for Lower Abdomen and Limb Surgery: a Case-Control Study
BACKGROUND In clinical practice, the level of sensory block in spinal anesthesia in opium abusers is lower than that in non-abusers because of adaptive changes caused by opium use. OBJECTIVES The aim of this study was to investigate the level of sensory block resulting from the intrathecal administration of 0.5% bupivacaine in opium abuser patients undergoing lower extremity and lower abdomin...
متن کاملCerebrospinal Fluid and Spinal Anesthesia Parameters in Healthy Versus Opium-Addict Patients during Lower Limb Surgery
متن کامل
Duration of spinal anesthesia with bupivacaine in chronic opium abusers undergoing lower extremity orthopedic surgery.
BACKGROUND It has been demonstrated that chronic opium abusers have lower thresholds for pain. Spinal anesthesia is a common procedure in anesthesia, which is performed through administration of drugs (usually local anesthetics) in the intrathecal space, to produce temporary pain relief. The aim of this study was to determine whether chronic opium abuse could have any possible effect on the dur...
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Introduction: Spinal anesthesia in opium-addicted patients can be associated with many complications. Hence, this study aimed to investigate sensory and motor block characteristics, duration of postoperative analgesia, hemodynamic and side effects by adding Fentanyl to bupivacaine in spinal Anesthesia of opium-addicted patients. Methods: In a double-blind randomized clinical trial, 60 American...
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چکیده ندارد.
15 صفحه اولcomparison of the sensory-motor block effects of low dose hyperbaric bupivacaine and lidocaine in anorectal surgery with spinal anesthesia
background & objective: outpatient surgery can be performed by general or spinal anesthesia. spinal anesthetic drugs have side effects. many anesthesiologists choose general anesthesia, because of its relative predictability and to avoid undesirable side effects associated with spinal anesthesia. for example lidocaine is frequently associated with transient neuroligic symptoms (tns). bupivacain...
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عنوان ژورنال:
anesthesiology and pain medicineجلد ۴، شماره ۵، صفحات ۰-۰
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