Authors: I. Herold; J. Nováček; M. Trnovský 1; M. Rosický; J. Pečenková; V. Kňourek; L. Piskač; L. Piskačová; J. Sedláček Authors‘ workplace: Anesteziologicko-resuscitační oddělení Klaudiánovy nemocnice, Mladá Boleslav, přednosta MUDr. Ivan Herold, CSc. 1Ortopedicko-traumatologické oddělení Klaudiánovy nemocnice, Mladá Boleslav, přednosta MUDr. Michal Trnovský Published in: Anest. intenziv. Med., , 2003, č. 2, s. 77-81 Category:
Objective: New chiral local anaesthetic levobupivacaine has been used until now mostly for epidural anaesthesia/analgesia,plexus and major nerve blocks. There are only a few reports of its use for subarachnoid anaesthesia (SA). The study aimedto evaluate the efficacy and safety of intrathecal administration of 0.5% levobupivacaine, where previously racemicbupivacaine was used almost exclusively.Setting: Department of Anaesthesiology and Intensive Care, Department of Orthopaedic Surgery and Traumatology ofRegional Klaudian’s Hospital, Mladá Boleslav.Material and methods: The authors enrolled 30 patients (ASA I–III, age 15–80, height ≥ ' 2.52 ± 0.56 of the modified Bromage scale. On average, 11.66 ± 1.95 segments were blocked, with upper level of blockadeat Th 9.68 ± 1.83 and lower of S 3.56 ± 0.6. The most frequently anaesthetized segments were L1–S2 (30x), Th12 (29x) andS3 (28x). The most frequent distribution of blocks was: Th10–S4 (5x), Th11–S4 (4x) and Th12–S4 (4x). 2-segmental sensoryblock regression was observed after 138.1 ± 65.49 min,time to motor block regression 235 ± 49.1min.Systolic blood pressurefell compared to basal values after 18., 20., 40. and 60.min (P
Key words: levobupivacaine – subarachnoidal anaesthesia – onset and regression of block – haemodynamic changes –quality of anaesthesia – postoperative analgesia – urinary retention – lower extremity surgery
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