RT Journal Article
SR Electronic
T1 Comparison of 3 doses of ropivacaine for epidural anesthesia in transurethral surgery
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 67
OP 71
VO 30
IS 1
A1 Guler, Gulen
A1 Aksu, Recep
A1 Dogru, Kudret
A1 Sofikerim, Mustafa
A1 Tosun, Zeynep
A1 Boyaci, Adem
YR 2009
UL http://smj.org.sa/content/30/1/67.abstract
AB OBJECTIVE: To investigate the use of 3 different doses of ropivacaine on the quality of anesthesia and hemodynamics in epidural anesthesia for transurethral surgery.METHODS: The current study was conducted in the Department of Anesthesiology, Medical Faculty of Erciyes University, Turkey, between May 2004 and June 2006. The study recruited 81 males of ASA I- II group, ages 60-80 years, undergoing transurethral resection of prostate or bladder tumors. Patients were randomly assigned to 3 groups receiving epidural ropivacaine in different doses and concentrations. Group I n=27 received 15 ml 102.5mg of 0.75% solution, group II n=27 received 10ml 75mg of 0.75% solution, and group III n=27 received 10 ml 50mg 0.5% ropivacaine. The quality of the blocks and the hemodynamic changes were compared.RESULTS: Motor block was significantly less in group III than in groups I and II. The sensory block level was T6 or more in 55% of patients in group I, 35% in group II, and 21% in group III. The duration of sensory block was less, and the time to achieve the T10 level was greater in group III. Hypotension and bradycardia were more frequent in group I.CONCLUSION: Effective anesthesia with few side effects was obtained with low dose ropivacaine.