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Epidural anesthesia for pilonidal sinus surgery: ropivacaine versus levobupivacaine.

Orhon ZN, Koltka EN, Devrim S, Tüfekçi S, Doğru S, Çelik M - Korean J Anesthesiol (2015)

Bottom Line: Arterial blood pressure, heart rate, oxygen saturation, the onset time of analgesia and duration of block, highest sensory block level, perioperative and postoperative side effects, and patients' and surgeons' satisfaction were recorded.Patients' and surgeons' satisfaction with the anesthetic technique were mostly excellent in both groups.Although not statistically significant, the onset time of anesthesia was shorter and the duration of effect was longer with ropivacaine than with levobupivacaine in this study.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Reanimation, Göztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.

ABSTRACT

Background: Epidural anesthesia is one of the best options for lower abdominal and lower limb surgery. However, there have been insufficient reports regarding the use of epidural anesthesia for pilonidal sinus surgery. The present study was performed to compare the clinical profiles of epidural block performed with 0.75% levobupivacaine and 0.75% ropivacaine in this procedure.

Methods: Thirty patients undergoing pilonidal sinus surgery were randomly allocated into two groups: one group received levobupivacaine and the other received ropivacaine at 0.75% in a volume of 10 ml. Arterial blood pressure, heart rate, oxygen saturation, the onset time of analgesia and duration of block, highest sensory block level, perioperative and postoperative side effects, and patients' and surgeons' satisfaction were recorded.

Results: Hemodynamic stability was maintained in both groups throughout surgery. The onset time of analgesia (the time from epidural injection of local anesthetic to reach L2 sensorial block) was 6.26 ± 3.49 min in the levobupivacaine group and 4.06 ± 1.75 min in the ropivacaine group (P = 0.116). The duration of sensorial block (time for regression of sensory block to L2) was 297.73 ± 70.94 min in group L and 332.40 ± 102.22 min in group R (P = 0.110). Motor block was not seen in any of the patients in the study groups. Patients' and surgeons' satisfaction with the anesthetic technique were mostly excellent in both groups.

Conclusions: In patients undergoing pilonidal sinus surgery, both levobupivacaine and ropivacaine produce rapid and excellent epidural block without leading to motor block or significant side effects. Although not statistically significant, the onset time of anesthesia was shorter and the duration of effect was longer with ropivacaine than with levobupivacaine in this study.

No MeSH data available.


Related in: MedlinePlus

Heart rate measurements during surgery in the two groups. R: Ropivacaine, L: Levobupivacaine.
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Figure 2: Heart rate measurements during surgery in the two groups. R: Ropivacaine, L: Levobupivacaine.

Mentions: No difference in patient characteristics or duration of surgery was observed between the two groups (Table 1). Hemodynamic stability was maintained in both groups throughout the surgery. Neither mean arterial pressure measurements nor heart rate levels showed significant differences between the groups (Figs. 1 and 2). There were statistically significant differences in SpO2 levels between the groups at 15 and 35 min. However, these differences were clinically insignificant (Table 2).


Epidural anesthesia for pilonidal sinus surgery: ropivacaine versus levobupivacaine.

Orhon ZN, Koltka EN, Devrim S, Tüfekçi S, Doğru S, Çelik M - Korean J Anesthesiol (2015)

Heart rate measurements during surgery in the two groups. R: Ropivacaine, L: Levobupivacaine.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4384401&req=5

Figure 2: Heart rate measurements during surgery in the two groups. R: Ropivacaine, L: Levobupivacaine.
Mentions: No difference in patient characteristics or duration of surgery was observed between the two groups (Table 1). Hemodynamic stability was maintained in both groups throughout the surgery. Neither mean arterial pressure measurements nor heart rate levels showed significant differences between the groups (Figs. 1 and 2). There were statistically significant differences in SpO2 levels between the groups at 15 and 35 min. However, these differences were clinically insignificant (Table 2).

Bottom Line: Arterial blood pressure, heart rate, oxygen saturation, the onset time of analgesia and duration of block, highest sensory block level, perioperative and postoperative side effects, and patients' and surgeons' satisfaction were recorded.Patients' and surgeons' satisfaction with the anesthetic technique were mostly excellent in both groups.Although not statistically significant, the onset time of anesthesia was shorter and the duration of effect was longer with ropivacaine than with levobupivacaine in this study.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Reanimation, Göztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.

ABSTRACT

Background: Epidural anesthesia is one of the best options for lower abdominal and lower limb surgery. However, there have been insufficient reports regarding the use of epidural anesthesia for pilonidal sinus surgery. The present study was performed to compare the clinical profiles of epidural block performed with 0.75% levobupivacaine and 0.75% ropivacaine in this procedure.

Methods: Thirty patients undergoing pilonidal sinus surgery were randomly allocated into two groups: one group received levobupivacaine and the other received ropivacaine at 0.75% in a volume of 10 ml. Arterial blood pressure, heart rate, oxygen saturation, the onset time of analgesia and duration of block, highest sensory block level, perioperative and postoperative side effects, and patients' and surgeons' satisfaction were recorded.

Results: Hemodynamic stability was maintained in both groups throughout surgery. The onset time of analgesia (the time from epidural injection of local anesthetic to reach L2 sensorial block) was 6.26 ± 3.49 min in the levobupivacaine group and 4.06 ± 1.75 min in the ropivacaine group (P = 0.116). The duration of sensorial block (time for regression of sensory block to L2) was 297.73 ± 70.94 min in group L and 332.40 ± 102.22 min in group R (P = 0.110). Motor block was not seen in any of the patients in the study groups. Patients' and surgeons' satisfaction with the anesthetic technique were mostly excellent in both groups.

Conclusions: In patients undergoing pilonidal sinus surgery, both levobupivacaine and ropivacaine produce rapid and excellent epidural block without leading to motor block or significant side effects. Although not statistically significant, the onset time of anesthesia was shorter and the duration of effect was longer with ropivacaine than with levobupivacaine in this study.

No MeSH data available.


Related in: MedlinePlus