Comparison of intrathecal plain articaine and levobupivacaine with fentanyl for Caesarean section

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dc.contributor.authorDemircioglu, Ruveyda I.
dc.contributor.authorGozdemir, Muhammet
dc.contributor.authorUsta, Burhanettin
dc.contributor.authorSert, Huseyin
dc.contributor.authorKarabayirli, Safinaz
dc.contributor.authorMuslu, Bunyamin
dc.contributor.authorKeskin, Esra A.
dc.date.accessioned2025-10-24T18:10:22Z
dc.date.available2025-10-24T18:10:22Z
dc.date.issued2016
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractPurpose: Articaine is used as a local anesthetic for outpatient surgery because it offers rapid onset of anesthesia and short duration motor block. Levobupivacaine is often preferred for Caesarean section. We evaluated the anesthetic characteristics of fentanyl-supplemented plain articaine and levobupivacaine for Caesarean section under combine spinal epidural anesthesia. Methods: Patients undergoing Caesarean section received in random order plain articaine 40 mg (Group A, n=50) or plain levobupivacaine 10 mg (Group L, n=50) mixed with fentanyl 20 mu g intrathecally. The onset and duration of sensory and motor block, first analgesic request, and hemodynamic parameters were recorded. Results: Onset times of maximum motor block were longer in Group L than Group A (P=0,001). Time to two-segment regression of sensory block were 70 min for Group A and 90 min group L (P=0.001). Times to complete regression of motor blockade were significantly longer in group L than group A (P =0,001). Conclusion: To have a faster onset and shorter duration of spinal anesthesia, we recommend the use of plain articaine for Caesarean section.
dc.identifier.endpage+
dc.identifier.issn0147-958X
dc.identifier.issn1488-2353
dc.identifier.issue6
dc.identifier.pmid27917802
dc.identifier.scopus2-s2.0-85009960734
dc.identifier.scopusqualityQ2
dc.identifier.startpageS125
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4130
dc.identifier.volume39
dc.identifier.wosWOS:000389725000026
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCanadian Soc Clinical Investigation
dc.relation.ispartofClinical And Investigative Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectSpinal-Anesthesia; Bupivacaine; Lidocaine; Ropivacaine; 0.5-Percent; Arthroscopy; Metabolism; Prilocaine; Symptoms
dc.titleComparison of intrathecal plain articaine and levobupivacaine with fentanyl for Caesarean section
dc.typeArticle

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