Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Mar;64(3):234-9.
doi: 10.4097/kjae.2013.64.3.234. Epub 2013 Mar 19.

Effect of position changes after spinal anesthesia with low-dose bupivacaine in elderly patients: sensory block characteristics and hemodynamic changes

Hye Young Kim  1 , Myeong Jong Lee, Mi-Na Kim, Ji-Sub Kim, Won Sang Lee, Kyu Chang Lee
Affiliations

Effect of position changes after spinal anesthesia with low-dose bupivacaine in elderly patients: sensory block characteristics and hemodynamic changes

Hye Young Kim et al. Korean J Anesthesiol. 2013 Mar.

Abstract

Background: The purpose of this study is to compare the anesthetic characteristics in elderly patients who remain in sitting position for 2 min compared with patients that are placed in supine position after induction of spinal anesthesia.

Methods: Fifty-seven patients scheduled for transurethral surgery were randomized to assume supine position immediately after 6.5 mg hyperbaric bupivacaine were injected (L group) or to remain in the sitting position for 2 minutes before they also assumed the supine position (S group). Analgesic levels were assessed bilaterally, using pin-prick. Motor block was scored using a 12-point scale. The mean arterial pressure and heart rate were also recorded.

Results: Sensory block levels were significantly lower at all time points for the L group. However, there were no significant differences in the degree of the motor block and hemodynamic changes between the two groups. However, in the L group, ephedrine or atropine were administered to three patients.

Conclusions: We concluded that performing a spinal anesthesia in sitting position was technically easier and induced less hypotension.

Keywords: Bupivacaine; Geriatric; Sensory block; Spinal.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
The mean arterial pressure (MAP) from time of induction of spinal anesthesia. Value are the mean ± SD. *P < 0.05 compared with the baseline in te L group. Group L: lateral position during spinal anesthesia, Group S: sitting position during spinal anesthesia.
Fig. 2
Fig. 2
The heart rate (HR) from time of induction of spinal anesthesia. Value are the mean ± SD. *P < 0.05 compared with the baseline in the L group, †P < 0.05 compared with baseline in S group. Group L: lateral position during spinal anesthesia, Group S: sitting position during spinal anesthesia.
See this image and copyright information in PMC

References

    1. Korea National Statistical Office. 2010 aged statistics. Daejeon: Statistics Korea; 2010. pp. 14–24.
    1. Forrest JB, Rehder K, Cahalan MK, Goldsmith Ch. Multicenter study of general anesthesia III: Predictors of severe adverse outcomes. Anesthesiology. 1992;76:3–15. - PubMed
    1. Kleinman W, Mikhail M. Spinal, epidural & caudal blocks. In: Morgan GE, Mikhail M, Murray MJ, editors. Clinical anesthesiology. 4th ed. New York: McGraw-Hill; 2005. pp. 290–291.
    1. Longnecker DE, Murphy FL. Introduction to anesthesia. 9th ed. Philadelphia: WB Saunders; 1997. pp. 365–376.
    1. Brown DL. Spinal, epidural and caudal anesthesia. In: Miller RD, editor. Miller's Anesthesia. 7th ed. Philadelphia: Churchill livingstone; 2010. pp. 1625–1626.

LinkOut - more resources