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Patient Variables and the Subarachnoid Spread of Hyperbaric Bupivacaine in the Term Parturient

 

作者: Mark Norris,  

 

期刊: Anesthesiology  (OVID Available online 1990)
卷期: Volume 72, issue 3  

页码: 478-482

 

ISSN:0003-3022

 

年代: 1990

 

出版商: OVID

 

关键词: Anesthesia, obstetric: cesarean section;Anesthetics, local: bupivacaine;Anesthetic techniques: spinal

 

数据来源: OVID

 

摘要:

To determine if age, height, weight, body mass index, or vertebral column length significantly influence the distribution of sensory analgesia or anesthesia after subarachnoid injection of hyperbaric bupivacaine, 52 women presenting for cesarean section were studied. All received 15 mg hyperbaric bupivacaineviasubarachnoid injection at L-2 or L-3. Fifteen minutes after injection, while the women lay supine on a horizontal operating table, the maximum cephalad extent of sensory analgesia (loss of sensation of sharpness to pin prick) and anesthesia (loss of sensation of light touch) was determined. Age (20–42 yr), height (146.9–174.0 cm), weight (55.5–136.4 kg), body mass index (19.2–50.0 kg/m2), and vertebral column length (49.6–67.0 cm) did not correlate with the spread of sensory blockade. In conclusion, in parturients of age, height, weight, body mass index, and vertebral column length within the aforementioned ranges, it is not necessary to vary the dose of injected hyperbaric bupivacaine with changes in any of the patient variables studied.

 

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