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The Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position

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dc.contributor.authorCiftci, Taner
dc.contributor.authorKepekci, Ali Bestemi
dc.contributor.authorYavasca, Hatice Pjnar
dc.contributor.authorDAŞKAYA, HAYRETTİN
dc.contributor.authorInal, Volkan
dc.contributor.institutionauthorDAŞKAYA, HAYRETTİN
dc.date.accessioned2020-10-22T18:04:49Z
dc.date.available2020-10-22T18:04:49Z
dc.date.issued2015-01-01T00:00:00Z
dc.description.abstractObesity has a significant effect on the cephalic spread of a spinal block (SB) due to a reduction in cerebrospinal fluid (CSF). SB is controlled by the tissue blood flow in addition to the CSF. Some positions and techniques of surgery used can cause changes in hemodynamics. We investigated effects of hemodynamic changes that may occur during Transurethral prostate resection (TURP) and lithotomy position (LP) at the SB level in obese versus nonobese individuals. Sixty patients who had undergone TUR-P operation under spinal anesthesia were divided into a nonobese (BMI = 30 kg/m(2), GroupO) group. SB assessments were recorded afterthe LP. SB at 6 and 120 min and the peak SB level were compared between two groups. Hemodynamics were recorded after LP. Peak and 6 min SB levels were similar between the groups, while 120 min SB levels were significantly higher for Group O (P < 0.05). Blood pressure (BP) after the LP was significantly higher for Group N (P < 0.05). LP and TUR-P increased the BP in Group N when compared to Group O. The increase in hemodynamics enhances the blood flow in the spinal cord and may form similar SB levels in nonobese patients to those in obese patients. However, SB time may be longer in obese patients.
dc.identifier.citationCiftci T., Kepekci A. B. , Yavasca H. P. , DAŞKAYA H., Inal V., -The Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position-, BIOMED RESEARCH INTERNATIONAL, 2015
dc.identifier.doi10.1155/2015/453939
dc.identifier.pubmed26064913
dc.identifier.scopus84929352884
dc.identifier.urihttp://hdl.handle.net/20.500.12645/23962
dc.identifier.urihttps://www.hindawi.com/journals/bmri/2015/453939/
dc.identifier.wosWOS:000354301700001
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSpinal Anesthesia
dc.titleThe Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position
dc.typeArticle
dspace.entity.typePublication
local.avesis.id71d1e664-9ed3-4bcf-b198-5aee9ef58b5e
local.publication.goal03 - Sağlık ve Kaliteli Yaşam
local.publication.isinternational1
relation.isAuthorOfPublication8e6248c0-bbfe-4d7e-ac2f-130672159fb4
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