JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pitkänen, M. T. Search for Related Content PubMed PubMed Citation Articles by Pitkänen, M. T.

Body Mass and Spread of Spinal Anesthesia with Bupivacaine

Department of Anesthesiology, Surgical Hospital, Helsinki University Central Hospital, Helsinki, Finland.

Abstract

The effect of body mass on spinal anesthesia with isobaric 0.5% bupivacaine was examined in 90 patients. The first 50 patients received 3 ml isobaric 0.5% bupivacaine. Another 40 patients, selected at random to receive 3 ml of either hyperbaric or isobaric bupivacaine 0.5%, were then studied. Levels of pin-prick analgesia and motor block were tested during induction, surgery, and recovery. The effects of high spinal anesthesia on peak expiratory flow (PEF) and arterial blood gas tensions were also examined in the last 40 patients. With isobaric bupivacaine, persons with higher than normal BMI [body mass index = weight (kg) divided by height-squared (m²)], or persons who were shorter than normal had higher cephalad spread of anesthesia. With hyperbaric bupivacaine only shorter individuals developed higher levels of anesthesia. Because of considerable interindividual variability, however, these observations are of only limited clinical value in predicting the spread of bupivacaine spinal analgesia. The higher spread of analgesia was associated with a decrease in PEF, whereas, the blood gas tensions remained undisturbed.

Key Words: ANESTHETIC TECHNIQUES—spinal. • COMPLICATIONS—obesity.

This article has been cited by other articles:

				K. C. Odegard, J. A. DiNardo, B. D. Kussman, A. Shukla, J. Harrington, A. Casta, F. X. McGowan Jr, P. R. Hickey, E. A. Bacha, R. R. Thiagarajan, et al. The Frequency of Anesthesia-Related Cardiac Arrests in Patients with Congenital Heart Disease Undergoing Cardiac Surgery Anesth. Analg., August 1, 2007; 105(2): 335 - 343. [Abstract] [Full Text] [PDF]

				E. Malec, K. Januszewska, J. Kolcz, and T. Mroczek Right ventricle-to-pulmonary artery shunt versus modified Blalock-Taussig shunt in the Norwood procedure for hypoplastic left heart syndrome - influence on early and late haemodynamic status Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 728 - 734. [Abstract] [Full Text] [PDF]

				C. B. Berde and N. F. Sethna Analgesics for the Treatment of Pain in Children N. Engl. J. Med., October 3, 2002; 347(14): 1094 - 1103. [Full Text] [PDF]

				R. L. Applegate, L. J. Mason, and T. L. Thompson Anesthetic Management of Pediatric Cardiac Transplantation Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2001; 5(1): 55 - 61. [Abstract] [PDF]

				J. S. Heinle, L. K. Diaz, and L. S. Fox EARLY EXTUBATION AFTER CARDIAC OPERATIONS IN NEONATES AND YOUNG INFANTS J. Thorac. Cardiovasc. Surg., September 1, 1997; 114(3): 413 - 418. [Abstract] [Full Text]

				M. D. Iannettoni, E. L. Bove, R. S. Mosca, F. M. Lupinetti, P. C. Dorostkar, A. Ludomirsky, D. C. Crowley, T. J. Kulik, and A. Rosenthal Improving results with first-stage palliation for hypoplastic left heart syndrome J. Thorac. Cardiovasc. Surg., March 1, 1994; 107(3): 934 - 940. [Abstract] [Full Text]

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999