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Comparative evaluation of two different volumes of lidocaine in intravenous regional anesthesia

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Titel: Comparative evaluation of two different volumes of lidocaine in intravenous regional anesthesia
Autoren: Serin, Simay, Gürses, Ercan Lütfi, Ulus, Abdulkadir, Öztürk, İbrahim
Quelle: Med Sci Monit
Verlagsinformationen: International Scientific Information, Inc., 2013.
Publikationsjahr: 2013
Schlagwörter: systolic blood pressure, Time Factors, Turkey, Anesthesia, Conduction/*methods, Anesthesia, Intravenous/*methods, Arm/*surgery, Dose-Response Relationship, Drug, Hemodynamics/drug effects, Humans, Lidocaine/*administration & dosage/*pharmacology, Statistics, Nonparametric, Regional anesthesia, Conduction, Dose-Response Relationship, 03 medical and health sciences, 0302 clinical medicine, male, Clinical Research, Anesthesia, Conduction, heart rate, Anesthesia, Nonparametric, controlled study, human, clinical article, adult, Statistics, article, diastolic blood pressure, visual analog scale, Hemodynamics, Lidocaine, postoperative analgesia, oxygen saturation, opiate, 3. Good health, aged, crystalloid, female, midazolam, lidocaine, Anesthesia, Intravenous, Arm, exsanguination, Drug, Intravenous, hemodynamic parameters, intravenous regional anesthesia, postoperative pain, tourniquet
Beschreibung: This study was conducted to compare low concentration-high volume intravenous regional anesthesia (IVRA) method with local anesthetic method in upper extremity surgery in terms of efficiency and adverse effects.Thirty-nine patients were divided into 2 groups; the first group received a 2% concentration of 12-15 mL lidocaine (Group 1) and the second group received a 0.5% concentration of 30-50 mL lidocaine (Group 2). Intraoperative hemodynamic data of patients (systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate, and peripheral oxygen saturation- SpO2) was recorded before and after anesthesia at 1, 5, 10, 15, 20, and 40 minutes.The intergroup and intragroup comparisons did not reveal any significant differences in hemodynamic data. The onset time of sensorial block was shorter and the regression time of sensorial block was longer in Group 1 than Group 2. Group 1 had shorter onset time of motor block and longer regression time of motor block than Group 2. There were no significant differences between the study groups in terms of the time of tourniquet and postoperative analgesia time.IVRA technique applied with 2% concentration and volume of 12-15 mL lidocaine may be suggested as a safe option.
Publikationsart: Article
Other literature type
Dateibeschreibung: application/pdf
Sprache: English
ISSN: 1643-3750
DOI: 10.12659/msm.889547
Zugangs-URL: https://europepmc.org/articles/pmc3836598?pdf=render
https://pubmed.ncbi.nlm.nih.gov/24220662
http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/7919
http://europepmc.org/articles/PMC3836598
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836598/
https://hdl.handle.net/11499/7919
https://doi.org/10.12659/msm.889547
http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/7919
Rights: CC BY NC ND
Dokumentencode: edsair.doi.dedup.....9a970ce3ebc42fcb47a4598df3e7ec5c
Datenbank: OpenAIRE
Beschreibung
Abstract:This study was conducted to compare low concentration-high volume intravenous regional anesthesia (IVRA) method with local anesthetic method in upper extremity surgery in terms of efficiency and adverse effects.Thirty-nine patients were divided into 2 groups; the first group received a 2% concentration of 12-15 mL lidocaine (Group 1) and the second group received a 0.5% concentration of 30-50 mL lidocaine (Group 2). Intraoperative hemodynamic data of patients (systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate, and peripheral oxygen saturation- SpO2) was recorded before and after anesthesia at 1, 5, 10, 15, 20, and 40 minutes.The intergroup and intragroup comparisons did not reveal any significant differences in hemodynamic data. The onset time of sensorial block was shorter and the regression time of sensorial block was longer in Group 1 than Group 2. Group 1 had shorter onset time of motor block and longer regression time of motor block than Group 2. There were no significant differences between the study groups in terms of the time of tourniquet and postoperative analgesia time.IVRA technique applied with 2% concentration and volume of 12-15 mL lidocaine may be suggested as a safe option.
ISSN:16433750
DOI:10.12659/msm.889547