Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura

Detalhes bibliográficos
Autor(a) principal: Ganem, Eliana Marisa [UNESP]
Data de Publicação: 1998
Outros Autores: Vianna, Pedro Thadeu Galvão [UNESP], Takata, I. H. [UNESP], Achoa, R. V. [UNESP], D'Angelo, S. M. [UNESP], Zacchi, B. [UNESP]
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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spelling 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
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language por
dc.relation.none.fl_str_mv Revista Brasileira de Anestesiologia
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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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)
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instname_str Universidade Estadual Paulista (UNESP)
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institution UNESP
reponame_str Repositório Institucional da UNESP
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repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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