Evaluating the change of outside respiration indexes caused of outside epidural and under arachnoideal anesthesia using marcain-fentanyl during surgery of lumbar herniated disk
- Author:
Tran Ngoc Tuan
- Publication Type:Journal Article
- Keywords:
Lumbar spinal disk herniation
- MeSH:
Respiration;
Hernia;
Anesthesia;
Surgery
- From:Journal of Practical Medicine
2005;0(6):5-7
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
A study on 125 patients, who were operated on lumbar spinal disk herniation, included 67 men and 58 women, from 18-70 years old. These patients were divided into 2 groups: group 1 was given epidural anesthesia: 34 men and 32 women used bupivacaine 1mg/kg –1, fentanyl 1µg/kg-1, adrenaline 1/2000.000 with a volume of desensitizer was 1.5 – 1.6ml/spinal cord unit. Fentanyl was mixed into drug injected in extra dura mater. Group 2 was given subarachnoid anesthesia: 33 men and 26 women used bupivacaine 0.15mg/kg –1, fentanyl 1µg/kg-1. Respiration indexes had been measured before and after anesthesia 30 minutes. Results: 30 minutes after anesthesia, group 2 had a decrease of the respiration indexes such as VC, VC%, FEV1, and Tiffeneau, compared that before anesthesia (p<0.05). In the group 1, the respiration indexes reduced not significantly with p> 0.05. Subarachnoid anesthesia had Tiffeneau and VC% were lower than epidural anesthesia (p<0.05). The respiration indexes of subarachnoid anesthesia group decreased but still in the allowance limitation.
