Artroskopik diz cerrahisinde intratekal ropivakainin üç farklı dozunun anestezi kalitesi ve postoperatif analjeziye etkileri

Amaç: Artroskopik diz cerrahisi vakalarında intratekal uygulanan %0.75 izobarik ropivakainin 10,12.5 ve 15 mg'lık dozlarının oluşturduğu analjezi ve anestezi kalitesi araştırıldı. Yöntem: Elektif artroskopik diz cerrahisi geçirecek ASA I-II grubundan 60 hasta rast gele 20'şer kişilik 3 gruba ayrıldı. Standart monitör izasy on sonrası %0.75'lik ropivakain, total volüm 2 mL olacak şekilde %0.9 serum fizyolojik ile tamamlanıp, Grup Ve 10 mg (%0.5), Grup IV ye 12.5 mg (%0.625) ve Grup III' e 15 mg (%0.75) uygulandı. Duyusal bloğun maksimal üst seviyeye ve T10'a ulaşma, analjezi düzeyinin iki segment ve Tıo dermatomuna gerileme süresi kaydedildi. Motor bloğun derecesi, süresi ve sonlanma zamanı not edildi. Postoperatif hasta ve cerrahın memnuniyet dereceleri sorgulandı. Postoperatif ilk ağrı başlama zamanı ve ağrı skorları, ilk analjezik, yürüme ve miksiyon zamanlan kaydedildi. Bulgular: Üç grupta da maksimal duyu bloğunun oluşma süresi eşit bulundu. Duyu bloğunun iki segment gerilemesi ve tamamen kalkması, motor blok sonlanması ve ilk analjezik ihtiyaç süresi Grup III'de Grup Ve göre anlamlı uzundu. Vital bulguların zamana bağlı değişimleri ve intraoperatif yan etkiler, ilk yürüme ve idrar yapma zamanları açısından gruplar arasında fark yoktu. Sonuç: Günübirlik artroskopik diz cerrahisi vakalarında oturur pozisyonda uygulanan 10 mg (%0.5) intratekal ropivakainin sağladığı anestezi ve analjezi kalitesinin yeterli olduğu kanısına varıldı.

Anahtar Kelimeler:

Anestezi, epidural, Diz, Enjeksiyon, spinal, Artroskopi, Anestezi, spinal, Anestezi, blok

The anesthetic quality and postoperative analgesic effects of three different doses of spinal ropivacaine in arthroscopic knee surgery

Objective: The anesthesia and analgesia of 10,12.5 and 15 mg doses of intrathecal ropivacaine were compared in arthroscopic knee surgery patients. Method: Sixty patients with ASA physical status I-II and scheduled for elective arthroscopic surgery were randomized into 3 groups of 20 patients. After standard monitorization, 10 mg (0.5%), 12.5 mg (0.625%) and 15 mg (0.75%) doses of 0.75% ropivacaine were administered intrathecally in Group I, II and III respectively. Maximum sensory block, the time to T10 sensory block, the time necessary for two segment regression and the regression to T10 dermatome time were recorded. Grade, duration and ending time of motor block were evaluated. Postoperatively, patient and surgeon satisfaction were noted. Postoperative first pain sensation time and VAS scores, first analgesic requirement, first mobilization and first micturation time were recorded. Results: Maximum sensorial block time was similar between the three groups. Two dermatomal regression, complete recovery time of sensorial block, complete recovery of motor block and the first analgesic requirements were significantly longer in Group III than in Group I. Changes in the vital signs, intraoperative side effects, first mobilization and micturation times were similar in all groups. Conclusion: Intrathecal anesthesia and analgesia quality with 10 mg (0.5%) ropivacaine were sufficient for ambulatory arthroscopic knee surgery.

Keywords:

Anesthesia, Epidural, Knee, Injections, Spinal, Arthroscopy, Anesthesia, Spinal, Anesthesia, Conduction,

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