COMPARISON OF MINIDOSE LIDOCAINE- FENTANYL AND CONVENTIONAL DOSE LIDOCAINE ON TRANSIENT NEUROLOGIC SYMPTOMS AFTER SPINAL ANESTHESIA

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ABD ELAHZADEH M.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2002 | Volume:22 | Issue:38 Page(s): 25-29

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Title

COMPARISON OF MINIDOSE LIDOCAINE- FENTANYL AND CONVENTIONAL DOSE LIDOCAINE ON TRANSIENT NEUROLOGIC SYMPTOMS AFTER SPINAL ANESTHESIA

Author(s)

ABD ELAHZADEH M. | Issue Writer Certificate

Keywords

SPINAL ANESTHESIAQ3

LIDOCAINEQ3

TRANSIENT NEUROLOGIC SYMPTONSQ4

Abstract

Previous studies had demonstrated that transient neurologic symptoms (TNS) after spinal LIDOCAINE is a manifestation of local anesthetic neurotoxicity.The purpose of this study was determining the effect of lower doses of intrathecal LIDOCAINE compared with conventional dose LIDOCAINE on the incidence of TNS.110 patients in ASA class I-II presenting for caesarean section were randomly assigned to receive SPINAL ANESTHESIA with either hyperbaric LIDOCAINE 50mg+25ug fentanyl or hyperbaric LIDOCAINE 75mg.Patients were evaluated for hemodynamic status, peak block level, regression, and transient neuroloic symptoms.Both groups had a median peak block level of T4.The control group had a greater need for ephedrine (p<0.05).Ketamin requirment was similar in both groups (P=NS). Block regression was faster in case group (P<0.05). TNS incidence was 29.1% in control group and 5.4% in case group (P<0.05). PSH incidence was similar in both groups (P=NS).SPINAL ANESTHESIA with 50mg LIDOCAINE and 25,ug fentanyl provides adequate anesthesia with more hemodynamic stability, faster recovery and lesser incidence of TNS syndrome than SPINAL ANESTHESIA with 75mg LIDOCAINE.

Cites

THE HEMODYNAMIC FFECTS OF STANDARD DOSES OF BUPIVACAINE COMPARED TO THE EFFECTS OF ITS MIXTURE WITH FENTANYL IN INTRA SPINAL ANESTHESIA AMONG AGED PEOPLE

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APA: Copy

ABD ELAHZADEH, M.. (2002). COMPARISON OF MINIDOSE LIDOCAINE- FENTANYL AND CONVENTIONAL DOSE LIDOCAINE ON TRANSIENT NEUROLOGIC SYMPTOMS AFTER SPINAL ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 22(38), 25-29. SID. https://sid.ir/paper/63107/en

Vancouver: Copy

ABD ELAHZADEH M.. COMPARISON OF MINIDOSE LIDOCAINE- FENTANYL AND CONVENTIONAL DOSE LIDOCAINE ON TRANSIENT NEUROLOGIC SYMPTOMS AFTER SPINAL ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2002;22(38):25-29. Available from: https://sid.ir/paper/63107/en

IEEE: Copy

M. ABD ELAHZADEH, “COMPARISON OF MINIDOSE LIDOCAINE- FENTANYL AND CONVENTIONAL DOSE LIDOCAINE ON TRANSIENT NEUROLOGIC SYMPTOMS AFTER SPINAL ANESTHESIA,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 22, no. 38, pp. 25–29, 2002, [Online]. Available: https://sid.ir/paper/63107/en

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