Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1990-8-22
pubmed:abstractText
A study was carried out to find out whether dividing the dose of local anaesthetic would give a better control of the spread and duration of sensory blockade due to spinal anaesthesia. It was carried out in 34 patients (mean age 62 years) scheduled for elective limb vascular surgery. All were classed ASA 2 or 3. Sensory blockade was assessed using a fine needle, and the degree of motor blockade with Bromage's scale. This was carried out every 5 min for the first 30 min, and thereafter, every 15 min until recovery from anaesthesia was complete. In the first group of patients (n = 16), spinal anaesthesia was obtained with a 26 gauge needle, the patient lying on his side; 4 ml of 0.5% bupivacaine were injected (1 ml every 10 seconds) before putting the patient supine. In the second group (n = 18), the catheter for continuous spinal anaesthesia was set up with the patient in the same position as for the first group. Once a length of 1 cm had been introduced in the subarachnoid space, the patient was placed supine and 2 ml of 0.5% bupivacaine were injected. If 15 min later sensory blockade did not reach T10, further 0.5 ml aliquots were given every 10 min so as to obtain a level of sensory blockade between T9 and T11. Maximum extension of sensory blockade was 15.1 +/- 2.3 metamers in group 1, with an extension to T3 in 2 patients. In group 2, 12.9 +/- 3.1 mg bupivacaine anaesthetized 14.2 +/- 1.9 metamers.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0750-7658
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
280-4
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
[Comparison between conventional and continuous spinal anesthesia using bupivacaine].
pubmed:affiliation
Département d'Anesthésie-Réanimation, Hôpital Henri Mondor, Créteil.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, English Abstract, Randomized Controlled Trial