Peridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorGanem, Eliana Marisa
dc.creatorVianna, Pedro Thadeu Galvão
dc.creatorTakata, I. H.
dc.creatorAchoa, R. V.
dc.creatorD'Angelo, S. M.
dc.creatorZacchi, B.
dc.date2014-05-27T11:19:32Z
dc.date2016-10-25T18:14:57Z
dc.date2014-05-27T11:19:32Z
dc.date2016-10-25T18:14:57Z
dc.date1998-01-01
dc.date.accessioned2017-04-06T00:51:33Z
dc.date.available2017-04-06T00:51:33Z
dc.identifierRevista Brasileira de Anestesiologia, v. 48, n. 4, p. 283-288, 1998.
dc.identifier0034-7094
dc.identifierhttp://hdl.handle.net/11449/65381
dc.identifierhttp://acervodigital.unesp.br/handle/11449/65381
dc.identifier2-s2.0-0031822273.pdf
dc.identifier2-s2.0-0031822273
dc.identifierhttp://www.sba.com.br/arquivos/revista/rba/jul98283.pdf
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/887112
dc.descriptionBackground and Objectives - Ropivacaine - a local amino amide anesthetic agent - is a plain S enantiomer which makes it a potent and low toxicity drug. The aim of our study was to evaluate 1% ropivacaine for epidural block in lower doses than those described in the literature. Methods - Thirty-eight patients, physical status ASA I and II, aged 15 to 70 years, weighing 50 to 100 kg were selected. Premedication consisted of 15 mg oral midazolam given 60 min before anesthesia induction. In the OR, after standard monitoring a catheter was inserted intravenously to administer 10 ml.kg-1 Ringers lactate solution. Epidural puncture was performed with the patient in the sitting position and 1% ropivacaine was administered in a volume corresponding to 10% of patient's height in centimeters. With the patient in the supine position, motor blockade intensity, temperature sensitivity and sensory block extension at 1, 3, 5, 7, 10, 15, 20, 30 minutes after drug injection were evaluated. Blood pressure, heart rate and adverse side effects during the course of anesthesia and in the post-anesthetic period were also observed. In the recovery room patients were followed-up until motor blockade intensity temperature sensitivity and sensory block had returned to level L2. Results - Mean values were 41.4 years of age, 68.8 kg of body weight and 165 cm height. Upper thermal blockade level was T4 and upper sensory block level was T6. Most patients showed motor block level 1 (Bromage scale) after 30 minutes of observation. Motor block mean duration was 254 minutes and temperature sensitivity 426 minutes. Only three patients had complications: two cases of hypotension and one of bradycardia. Conclusions - In the volumes used in this study, ropivacaine produced adequate analgesia and a less intense lower limb motor block which, however, was sufficient to allow for surgical procedures with low incidence of side-effects.
dc.languagepor
dc.relationRevista Brasileira de Anestesiologia
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnesthetic techniques: regional, epidural
dc.subjectAnesthetics: local, ropivacaine
dc.subjectlocal anesthetic agent
dc.subjectmidazolam
dc.subjectropivacaine
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectblood pressure
dc.subjectbradycardia
dc.subjectclinical article
dc.subjectepidural anesthesia
dc.subjectheart rate
dc.subjecthuman
dc.subjecthypotension
dc.subjectintravenous drug administration
dc.subjectnerve block
dc.subjectoral drug administration
dc.subjectpremedication
dc.subjectsupine position
dc.subjecttemperature sensitivity
dc.titlePeridural com ropivacaina a 1%: Experiencia com volume proporcional a estatura
dc.typeOtro


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