Anesthesia Clinical Trial
Official title:
Comparison of the Efficacy of 3 Different Density Levobupivacaine Solutions + Fentanyl Applied Intrathecally for Spinal Anesthesia in Caesarean Delivery.
The investigator's aim is to compare the efficacy of 3 levobupivacaine solutions with different density on spinal anesthesia for caesarean delivery.
Patients scheduled for elective caesarean delivery were separated into 4 groups. Spinal
anesthesia was performed with one of the following regimens.
Group 1: Levobupivacaine 8 mg + 20 mcg Fentanyl Group 2: Levobupivacaine 8 mg + 20 mcg
Fentanyl + 40 mg Dextrose Group 3: Levobupivacaine 8 mg + 20 mcg Fentanyl + 60 mg Dextrose
Group 4: Levobupivacaine 8 mg + 20 mcg Fentanyl + 80 mg Dextrose After anesthesia induction
motor block was evaluated via bromage scale and sensory block via pinprick test every 3
minutes for the first 15 minutes, and every 5 minutes up to 60 minutes. Maximum sensory block
level, time to reach maximum block level, time needed to achieve T10 sensory level were
recorded.
Baby delivery time, and operation duration were also recorded. Time to two segment regression
of maximum sensory block, motor block recovery time and time to S2 regression of sensory
block will be recorded.
Hemodynamic data, nausea vomiting, were also recorded throughout surgery at the same
evaluation periods and postoperative period.
The surgeon will also evaluate the abdominal relaxation surgical block quality as good,
medium and poor.
The patient will evaluate spinal block analgesia quality as good, medium or poor.
Pain scores are going to be evaluated by VAS at the beginning, uterine incision and during
abdominal closure. Time for first analgesic requirement and postoperative pain is also going
to be evaluated by VAS.
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