Akademik Veri Yönetim Sistemi
JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.7, 2016 (ESCI)
Aim: Changes in the temperature and density of local anaesthesia agents used in the applicator' of spinal anaesthesia have been shown to be related to the dissemination of these drugs in the cerebral spinal fluid. Shivering seen related to spinal anaesthesia is extremely discomforting for the patient and the etiology is not fully understood. The aim of this study was to compare the effects on spinal block characteristics and shivering of bupivacaine stored at 23 degrees C or at 37 degrees C for use in spinal anaesthesia. Material and Method:A total of 80 patients who were to undergo elective caesarean section surgery were randomly separated into 2 groups. Spinal anaesthesia was applied to the patients in Group 1 using bupivacaine stored at room temperature of 23 degrees C and to the patients in Group 2 usng bupivacaine stored at 37 degrees C. A record was made of the time taken to reach the maximum sensory block in the derma tome field, the sensory block level at every minute in the first 10 minutes and at 5-minute intervals thereafter, blood pressure, body temperature, and the incidence of shivering. Results: No difference was determined between the groups in respect of demographic data. A more rapid onset of sensory and motor block and more rapid cephalic dissemination was observed in Croup 2. The incidence of shivering was found to be lower in Group 2 with the warmer bupivacaine (p-0.022). Discussion: Raising the temperature to 37 degrees C in the local anaesthetic agent used in spinal anaesthesia of caesarean operations could achieve a more rapid sensory and motor block and could reduce the incidence of shivering.