PATIENT POSTURE AND SPREAD OF EPIDURAL ANALGESIA IN A.P. REPAIR SURGERY

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ROKHTABNAK F.; MEHDIZADEH A.; TAGHIPOUR ANVARI Z.

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Title

PATIENT POSTURE AND SPREAD OF EPIDURAL ANALGESIA IN A.P. REPAIR SURGERY

Author(s)

ROKHTABNAK F. | MEHDIZADEH A. | TAGHIPOUR ANVARI Z. | Issue Writer Certificate

Keywords

EPIDURAL ANESTHESIAQ4

PATIENT POSTUREQ4

Abstract

The effect of PATIENT POSTURE on the spread of EPIDURAL ANESTHESIA is still controversial. Because of limited use of this technique for foot and perineal region surgery as result of uneven analgesia in the sacral segments, this study was undertaken to assess the difference in the maximum cephalad spread, onset and duration, and sacral segment analgesia with epidural blockade in 3 patients postures, namely: I) 7.5 minutes sitting and then 20° semi -sitting, II) 20° semi - sitting, III) left lateral decubitus.The different position were maintained from the beginning of epidural blockade up to 30 minutes. 60 ASA I-II patients candidated for AP repair were randomly divided into 3 groups as above. Epidural blockade was induced through catheter and with 4 doses of 5 milliliters of 2% lidocaine injected every 2.5 minutes.According to analysis of the data with ANOVA and post Hoc Tucky test, maximum cephalad spread of analgesia was higher on the dependent side of group III, than the nondependent side of the same group (p=0.000) and, group I (p=0.049). Also in the dependent side of group III compared to the nondependent side duration of cephalad spread was accelerated (p=0.018) and the onset of regression of analgesia started later (p=0.016).S4-S5 segment blockade occured in 80% of group III compared to 100% in the other 2 groups (p=0.013). These results show increased and accelerated spread and longer duration of epidural blockade in the more dependent regions according to different PATIENT POSTUREs.

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APA: Copy

ROKHTABNAK, F., MEHDIZADEH, A., & TAGHIPOUR ANVARI, Z.. (2002). PATIENT POSTURE AND SPREAD OF EPIDURAL ANALGESIA IN A.P. REPAIR SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 22(39), 18-25. SID. https://sid.ir/paper/63386/en

Vancouver: Copy

ROKHTABNAK F., MEHDIZADEH A., TAGHIPOUR ANVARI Z.. PATIENT POSTURE AND SPREAD OF EPIDURAL ANALGESIA IN A.P. REPAIR SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2002;22(39):18-25. Available from: https://sid.ir/paper/63386/en

IEEE: Copy

F. ROKHTABNAK, A. MEHDIZADEH, and Z. TAGHIPOUR ANVARI, “PATIENT POSTURE AND SPREAD OF EPIDURAL ANALGESIA IN A.P. REPAIR SURGERY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 22, no. 39, pp. 18–25, 2002, [Online]. Available: https://sid.ir/paper/63386/en

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