Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section
Background. The behaviour of isobaric levobupivacaine in relation to gravity when used in obstetric spinal anesthesia is unclear. Methods. 46 women with ASA physical status 1 undergoing cesarean section were randomly allocated to 2 groups. Spinal anesthesia with 12.5 mg levobupivacaine was performed...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/212696 |
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| author | Fabio Gori Francesco Corradetti Vittorio Cerotto Vito Aldo Peduto |
| author_facet | Fabio Gori Francesco Corradetti Vittorio Cerotto Vito Aldo Peduto |
| author_sort | Fabio Gori |
| collection | DOAJ |
| description | Background. The behaviour of isobaric levobupivacaine in relation to gravity when used in obstetric spinal anesthesia is unclear. Methods. 46 women with ASA physical status 1 undergoing cesarean section were randomly allocated to 2 groups. Spinal anesthesia with 12.5 mg levobupivacaine was performed in the sitting position in all women. Those in the first group were placed in the supine position immediately after the injection, while those in the second group were asked to remain seated for 2 minutes before assuming the supine position. The sensory block level, the onset of sensory and motor blocks, the regression of the sensory block for 2 dermatomes of the sensory block, the first request for analgesics, and the regression of motor block were recorded. Results. No differences in onset times, sensory level, or Bromage score were observed between the two groups. The time of first analgesic request was earlier in the seated group (supine 131±42 min, seated 106±29 min, 𝑃=.02). Conclusion. Isobaric levobupivacaine in women at term produces a subarachnoid block the dermatomal level of which does not depend on gravitational forces. |
| format | Article |
| id | doaj-art-92e102f1294849e9b8f9d09103d93f0a |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-92e102f1294849e9b8f9d09103d93f0a2025-02-03T05:44:06ZengWileyAnesthesiology Research and Practice1687-69621687-69702010-01-01201010.1155/2010/212696212696Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean SectionFabio Gori0Francesco Corradetti1Vittorio Cerotto2Vito Aldo Peduto3Section of Anesthesia and Intensive Care, University of Perugia, 06100 Perugia, ItalySection of Anesthesia and Intensive Care, University of Perugia, 06100 Perugia, ItalySection of Anesthesia and Intensive Care, University of Perugia, 06100 Perugia, ItalySection of Anesthesia and Intensive Care, University of Perugia, 06100 Perugia, ItalyBackground. The behaviour of isobaric levobupivacaine in relation to gravity when used in obstetric spinal anesthesia is unclear. Methods. 46 women with ASA physical status 1 undergoing cesarean section were randomly allocated to 2 groups. Spinal anesthesia with 12.5 mg levobupivacaine was performed in the sitting position in all women. Those in the first group were placed in the supine position immediately after the injection, while those in the second group were asked to remain seated for 2 minutes before assuming the supine position. The sensory block level, the onset of sensory and motor blocks, the regression of the sensory block for 2 dermatomes of the sensory block, the first request for analgesics, and the regression of motor block were recorded. Results. No differences in onset times, sensory level, or Bromage score were observed between the two groups. The time of first analgesic request was earlier in the seated group (supine 131±42 min, seated 106±29 min, 𝑃=.02). Conclusion. Isobaric levobupivacaine in women at term produces a subarachnoid block the dermatomal level of which does not depend on gravitational forces.http://dx.doi.org/10.1155/2010/212696 |
| spellingShingle | Fabio Gori Francesco Corradetti Vittorio Cerotto Vito Aldo Peduto Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section Anesthesiology Research and Practice |
| title | Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section |
| title_full | Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section |
| title_fullStr | Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section |
| title_full_unstemmed | Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section |
| title_short | Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section |
| title_sort | influence of positioning on plain levobupivacaine spinal anesthesia in cesarean section |
| url | http://dx.doi.org/10.1155/2010/212696 |
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