Low Dose Spinal Anesthesia for Ambulatory Surgery of Varicose Vein.
- Author:
Jin Sung YANG
1
;
Young Woo PARK
;
Jae Wook LEE
;
Yong Soon WON
;
Hwa Kyun SHIN
;
Dong Gi LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Sooncheonhyang University Colleg of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Varicose vein;
Ambulatory surgery;
Spinal anesthesia
- MeSH:
Ambulatory Surgical Procedures;
Analgesia;
Anesthesia, General;
Anesthesia, Spinal;
Bradycardia;
Bupivacaine;
Catheters;
Dysuria;
Fentanyl;
Hemodynamics;
Humans;
Hypotension;
Postoperative Complications;
Urination;
Varicose Veins
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(2):233-237
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
\BACKGROUND: Bupivacaine with fentanyl might be suitable as the spinal anesthesia for performing ambulatory surgery to treat varicose vein. MATERIAL AND METHOD: Thirty patients who underwent spinal anesthesia for a varicose vein operation were enrolled in this study. They were classified into 2 groups of either fentanyl 25 ug mixed with bupivacaine 4 mg (group FB4) or bupivacaine 8 mg (group B8). We compared the groups for the success of the analgesia, the recovery time from sensory and motor block, the side effects and the postoperative complications. RESULT: The groups did not differ significantly regarding the success of analgesia (13 of 15 [group FB4], 15 of 15 [group B8]). None of the patients were converted to general anesthesia due to surgical pain. None of the patients required medication for hypotension and/or bradycardia. The operative and nonoperative side effects of motor block (tested for by using a modified Bromage scale) was significantly lower in group FB4 than that in group B8, as checked at 2 hours after spinal anesthesia (p<0.05). Recovery from spinal block was significantly quicker in group FB4 than that in group B8 (p<0.05). The first voluntary micturition time did not differ significantly (6.5 hours v 4.5 hours [p=0.143]) between the groups, but a nelatone catheter was inserted into 2 of the group B8 patients due to dysuria. CONCLUSION: Adequate intraoperative analgesia and hemodynamic stability and faster mobilization were achieved using bupivacaine 4 mg with fentanyl 25 ug. Low dose spinal anesthesia with fentanyl is suitable for performing ambulatory surgery to treat varicose vein.
