Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura
Autor(a) principal: | |
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Data de Publicação: | 1998 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://www.sba.com.br/arquivos/revista/rba/jul98283.pdf http://hdl.handle.net/11449/65381 |
Resumo: | Background and Objectives - Ropivacaine - a local amino amide anesthetic agent - is a plain S enantiomer which makes it a potent and low toxicity drug. The aim of our study was to evaluate 1% ropivacaine for epidural block in lower doses than those described in the literature. Methods - Thirty-eight patients, physical status ASA I and II, aged 15 to 70 years, weighing 50 to 100 kg were selected. Premedication consisted of 15 mg oral midazolam given 60 min before anesthesia induction. In the OR, after standard monitoring a catheter was inserted intravenously to administer 10 ml.kg-1 Ringers lactate solution. Epidural puncture was performed with the patient in the sitting position and 1% ropivacaine was administered in a volume corresponding to 10% of patient's height in centimeters. With the patient in the supine position, motor blockade intensity, temperature sensitivity and sensory block extension at 1, 3, 5, 7, 10, 15, 20, 30 minutes after drug injection were evaluated. Blood pressure, heart rate and adverse side effects during the course of anesthesia and in the post-anesthetic period were also observed. In the recovery room patients were followed-up until motor blockade intensity temperature sensitivity and sensory block had returned to level L2. Results - Mean values were 41.4 years of age, 68.8 kg of body weight and 165 cm height. Upper thermal blockade level was T4 and upper sensory block level was T6. Most patients showed motor block level 1 (Bromage scale) after 30 minutes of observation. Motor block mean duration was 254 minutes and temperature sensitivity 426 minutes. Only three patients had complications: two cases of hypotension and one of bradycardia. Conclusions - In the volumes used in this study, ropivacaine produced adequate analgesia and a less intense lower limb motor block which, however, was sufficient to allow for surgical procedures with low incidence of side-effects. |
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Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estaturaEpidural anesthesia with 1% ropivacaine: Experience with volume proportional to heightAnesthetic techniques: regional, epiduralAnesthetics: local, ropivacainelocal anesthetic agentmidazolamropivacaineadolescentadultagedblood pressurebradycardiaclinical articleepidural anesthesiaheart ratehumanhypotensionintravenous drug administrationnerve blockoral drug administrationpremedicationsupine positiontemperature sensitivityBackground and Objectives - Ropivacaine - a local amino amide anesthetic agent - is a plain S enantiomer which makes it a potent and low toxicity drug. The aim of our study was to evaluate 1% ropivacaine for epidural block in lower doses than those described in the literature. Methods - Thirty-eight patients, physical status ASA I and II, aged 15 to 70 years, weighing 50 to 100 kg were selected. Premedication consisted of 15 mg oral midazolam given 60 min before anesthesia induction. In the OR, after standard monitoring a catheter was inserted intravenously to administer 10 ml.kg-1 Ringers lactate solution. Epidural puncture was performed with the patient in the sitting position and 1% ropivacaine was administered in a volume corresponding to 10% of patient's height in centimeters. With the patient in the supine position, motor blockade intensity, temperature sensitivity and sensory block extension at 1, 3, 5, 7, 10, 15, 20, 30 minutes after drug injection were evaluated. Blood pressure, heart rate and adverse side effects during the course of anesthesia and in the post-anesthetic period were also observed. In the recovery room patients were followed-up until motor blockade intensity temperature sensitivity and sensory block had returned to level L2. Results - Mean values were 41.4 years of age, 68.8 kg of body weight and 165 cm height. Upper thermal blockade level was T4 and upper sensory block level was T6. Most patients showed motor block level 1 (Bromage scale) after 30 minutes of observation. Motor block mean duration was 254 minutes and temperature sensitivity 426 minutes. Only three patients had complications: two cases of hypotension and one of bradycardia. Conclusions - In the volumes used in this study, ropivacaine produced adequate analgesia and a less intense lower limb motor block which, however, was sufficient to allow for surgical procedures with low incidence of side-effects.Departamento Anestesiologia da FMB UNESP Distrito de Rubiao Junior, 18618-970 Botucatu, SPDepartamento Anestesiologia da FMB UNESP Distrito de Rubiao Junior, 18618-970 Botucatu, SPUniversidade Estadual Paulista (Unesp)Ganem, Eliana Marisa [UNESP]Vianna, Pedro Thadeu Galvão [UNESP]Takata, I. H. [UNESP]Achoa, R. V. [UNESP]D'Angelo, S. M. [UNESP]Zacchi, B. [UNESP]2014-05-27T11:19:32Z2014-05-27T11:19:32Z1998-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article283-288application/pdfhttp://www.sba.com.br/arquivos/revista/rba/jul98283.pdfRevista Brasileira de Anestesiologia, v. 48, n. 4, p. 283-288, 1998.0034-7094http://hdl.handle.net/11449/653812-s2.0-00318222732-s2.0-0031822273.pdf8226942130768820Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporRevista Brasileira de Anestesiologia0.8500,320info:eu-repo/semantics/openAccess2024-08-14T13:20:07Zoai:repositorio.unesp.br:11449/65381Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T13:20:07Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura Epidural anesthesia with 1% ropivacaine: Experience with volume proportional to height |
title |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura |
spellingShingle |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura Ganem, Eliana Marisa [UNESP] Anesthetic techniques: regional, epidural Anesthetics: local, ropivacaine local anesthetic agent midazolam ropivacaine adolescent adult aged blood pressure bradycardia clinical article epidural anesthesia heart rate human hypotension intravenous drug administration nerve block oral drug administration premedication supine position temperature sensitivity |
title_short |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura |
title_full |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura |
title_fullStr |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura |
title_full_unstemmed |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura |
title_sort |
Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura |
author |
Ganem, Eliana Marisa [UNESP] |
author_facet |
Ganem, Eliana Marisa [UNESP] Vianna, Pedro Thadeu Galvão [UNESP] Takata, I. H. [UNESP] Achoa, R. V. [UNESP] D'Angelo, S. M. [UNESP] Zacchi, B. [UNESP] |
author_role |
author |
author2 |
Vianna, Pedro Thadeu Galvão [UNESP] Takata, I. H. [UNESP] Achoa, R. V. [UNESP] D'Angelo, S. M. [UNESP] Zacchi, B. [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Ganem, Eliana Marisa [UNESP] Vianna, Pedro Thadeu Galvão [UNESP] Takata, I. H. [UNESP] Achoa, R. V. [UNESP] D'Angelo, S. M. [UNESP] Zacchi, B. [UNESP] |
dc.subject.por.fl_str_mv |
Anesthetic techniques: regional, epidural Anesthetics: local, ropivacaine local anesthetic agent midazolam ropivacaine adolescent adult aged blood pressure bradycardia clinical article epidural anesthesia heart rate human hypotension intravenous drug administration nerve block oral drug administration premedication supine position temperature sensitivity |
topic |
Anesthetic techniques: regional, epidural Anesthetics: local, ropivacaine local anesthetic agent midazolam ropivacaine adolescent adult aged blood pressure bradycardia clinical article epidural anesthesia heart rate human hypotension intravenous drug administration nerve block oral drug administration premedication supine position temperature sensitivity |
description |
Background and Objectives - Ropivacaine - a local amino amide anesthetic agent - is a plain S enantiomer which makes it a potent and low toxicity drug. The aim of our study was to evaluate 1% ropivacaine for epidural block in lower doses than those described in the literature. Methods - Thirty-eight patients, physical status ASA I and II, aged 15 to 70 years, weighing 50 to 100 kg were selected. Premedication consisted of 15 mg oral midazolam given 60 min before anesthesia induction. In the OR, after standard monitoring a catheter was inserted intravenously to administer 10 ml.kg-1 Ringers lactate solution. Epidural puncture was performed with the patient in the sitting position and 1% ropivacaine was administered in a volume corresponding to 10% of patient's height in centimeters. With the patient in the supine position, motor blockade intensity, temperature sensitivity and sensory block extension at 1, 3, 5, 7, 10, 15, 20, 30 minutes after drug injection were evaluated. Blood pressure, heart rate and adverse side effects during the course of anesthesia and in the post-anesthetic period were also observed. In the recovery room patients were followed-up until motor blockade intensity temperature sensitivity and sensory block had returned to level L2. Results - Mean values were 41.4 years of age, 68.8 kg of body weight and 165 cm height. Upper thermal blockade level was T4 and upper sensory block level was T6. Most patients showed motor block level 1 (Bromage scale) after 30 minutes of observation. Motor block mean duration was 254 minutes and temperature sensitivity 426 minutes. Only three patients had complications: two cases of hypotension and one of bradycardia. Conclusions - In the volumes used in this study, ropivacaine produced adequate analgesia and a less intense lower limb motor block which, however, was sufficient to allow for surgical procedures with low incidence of side-effects. |
publishDate |
1998 |
dc.date.none.fl_str_mv |
1998-01-01 2014-05-27T11:19:32Z 2014-05-27T11:19:32Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.sba.com.br/arquivos/revista/rba/jul98283.pdf Revista Brasileira de Anestesiologia, v. 48, n. 4, p. 283-288, 1998. 0034-7094 http://hdl.handle.net/11449/65381 2-s2.0-0031822273 2-s2.0-0031822273.pdf 8226942130768820 |
url |
http://www.sba.com.br/arquivos/revista/rba/jul98283.pdf http://hdl.handle.net/11449/65381 |
identifier_str_mv |
Revista Brasileira de Anestesiologia, v. 48, n. 4, p. 283-288, 1998. 0034-7094 2-s2.0-0031822273 2-s2.0-0031822273.pdf 8226942130768820 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Anestesiologia 0.850 0,320 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
283-288 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128112444047360 |