Academic Journal
The influence of epidural volume extension on spinal block with hyperbaric bupivacaine for elective knee arthroplasty
| Title: | The influence of epidural volume extension on spinal block with hyperbaric bupivacaine for elective knee arthroplasty |
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| Authors: | Ertaç Özeroğlu, Fulya Yilmaz |
| Source: | Ain Shams Journal of Anesthesiology, Vol 14, Iss 1, Pp 1-6 (2022) |
| Publisher Information: | SpringerOpen, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Anesthesiology LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: | Total knee arthroplasty, Combined spinal–epidural anesthesia, Epidural volume extension, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: | Abstract Background Epidural volume extension (EVE) via a combined spinal–epidural is the enhancement of a small-dose intrathecal block by an epidural injection of physiological saline solution. The aim of this study was to investigate the sensory and motor block characteristics of spinal anesthesia after EVE. Eighty patients enrolled in this prospective, randomized, double-blind study. Group I (n=40) received 10 mg hyperbaric bupivacaine and group II (n=40) first received 10 mg hyperbaric bupivacaine intrathecally and subsequently 10 mL saline via epidural catheter. Results In the first 30 min after combined spinal–epidural anesthesia, the maximum sensory block level was significantly higher in group II than in group I. The Bromage score was significantly higher in group II than in group I at 3–6 and 9 min of the intraoperative period. EVE increased the mean S max significantly in group 2 than group 1 (p0.05). EVE significantly altered Time10 and T adeq in group 2 (p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2090-925X |
| Relation: | https://doaj.org/toc/2090-925X |
| DOI: | 10.1186/s42077-022-00220-7 |
| Access URL: | https://doaj.org/article/a6697c805ab94e279edb8daf50651670 |
| Accession Number: | edsdoj.6697c805ab94e279edb8daf50651670 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 2090925X |
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| DOI: | 10.1186/s42077-022-00220-7 |
| Published in: | Ain Shams Journal of Anesthesiology |
| Language: | English |