caa a22 4500 445374764 CHVBK 20180317142959.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00540-010-1089-9 doi (NATIONALLICENCE)springer-10.1007/s00540-010-1089-9 Low-dose ropivacaine or levobupivacaine walking spinal anesthesia in ambulatory inguinal herniorrhaphy [Elektronische Daten] [Vildan Taspinar, Altan Sahin, Nezihe Donmez, Yasar Pala, Aydin Selcuk, Murat Ozcan, Bayazit Dikmen] Purpose: The purpose of our study was to compare the equipotent doses of ropivacaine and levobupivacaine for walk-out criteria and the characteristics of spinal anesthesia in inguinal herniorrhaphy surgery. Methods: Combined spinal-epidural anesthesia was performed. Adult patients were randomly allocated to receive 5mg 0.5% ropivacaine plus 25μg fentanyl (group RF, n=25) or 3.75mg 0.75% levobupivacaine plus 25μg fentanyl (group LF, n=25). Each solution was hypobaric, and the same volume, 3ml, was administered. Sensory and motor block characteristics, hemodynamic changes, side effects, number of patients having ability to stand and walk at the end of the operation, time to first analgesic requirement, time to urination, time to getting out of bed (ambulation), and time to home discharge were determined. Results: Sensory block onset time and time to reach the T6 dermatome were significantly shorter in group LF, whereas time to the two-segment regression and time to first analgesic requirement were significantly shorter in group RF. All patients in group LF were Bromage 0. Time to home discharge was shorter in group LF, but this difference was not statistically significant. Conclusion: We suggest that both local anesthetics can be used in walking spinal technique. Levobupivacaine may be an alternative local anesthetic for walking spinal anesthesia as it provides minimum motor block and a long duration of postoperative analgesia, even if its use is not associated with a shorter home discharge time. Japanese Society of Anesthesiologists, 2011 Walking spinal nationallicence Ropivacaine nationallicence Levobupivacaine nationallicence Taspinar Vildan Ankara Numune Training and Research Hospital, Samanpazarı, 06100, Ankara, Turkey aut Sahin Altan Gaziantep Lawyer Cengiz Gokcek Government Hospital, Gaziantep, Turkey aut Donmez Nezihe Ankara Numune Training and Research Hospital, Samanpazarı, 06100, Ankara, Turkey aut Pala Yasar Private Cerkezkoy Optimed Guven Hospital, Tekirdag, Turkey aut Selcuk Aydin Sereflikochisar Government Hospital, Ankara, Turkey aut Ozcan Murat Private Europe Hospital, Kayseri, Turkey aut Dikmen Bayazit Department of Anesthesiology and Reanimation, Ankara Training and Research Hospital, Ankara, Turkey aut Journal of Anesthesia Springer Japan 25/2(2011-04-01), 219-224 0913-8668 25:2<219 2011 25 540 https://doi.org/10.1007/s00540-010-1089-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-010-1089-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Taspinar Vildan Ankara Numune Training and Research Hospital, Samanpazarı, 06100, Ankara, Turkey aut NATIONALLICENCE 700 1- Sahin Altan Gaziantep Lawyer Cengiz Gokcek Government Hospital, Gaziantep, Turkey aut NATIONALLICENCE 700 1- Donmez Nezihe Ankara Numune Training and Research Hospital, Samanpazarı, 06100, Ankara, Turkey aut NATIONALLICENCE 700 1- Pala Yasar Private Cerkezkoy Optimed Guven Hospital, Tekirdag, Turkey aut NATIONALLICENCE 700 1- Selcuk Aydin Sereflikochisar Government Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Ozcan Murat Private Europe Hospital, Kayseri, Turkey aut NATIONALLICENCE 700 1- Dikmen Bayazit Department of Anesthesiology and Reanimation, Ankara Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/2(2011-04-01), 219-224 0913-8668 25:2<219 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer