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Turkish Journal of Medical Sciences

DOI

10.3906/sag-1008-995

Abstract

To investigate the influence of saline injection as an epidural top-up on sensory block characteristics in combined spinal-epidural anesthesia. Materials and methods: A group of 50 patients scheduled for transurethral prostate resection surgery received a subarachnoid 10 mg of 0.5% hyperbaric bupivacaine and were randomly allocated to 1 of 2 groups. Patients in Group S received 10 mL of epidural saline 5 min after spinal block, and those in Group C did not receive anything via epidural catheter. The sensorial block level, motor block degree, and hemodynamic variables were recorded at 5 min intervals. The time to S1 segment regression of sensorial block and complete recovery of motor block were also recorded. Results: Sensorial block level was significantly higher in Group S than Group C at 15, 20, and 30 min (P < 0.05). Time to S1 segment regression, time to complete recovery of motor block, and hemodynamic data were similar between the 2 groups. Conclusion: Saline injection via epidural catheter as an epidural top-up provided an increase in sensory block level in combined spinal-epidural anesthesia without changing the hemodynamic data or the time to complete recovery from sensorial and motor block.

Keywords

Spinal anesthesia, epidural anesthesia, saline solution, hypertonic

First Page

603

Last Page

608

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