The Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Position

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dc.authoridKhashayar, Patricia/0000-0001-7525-8418
dc.authoridinal, volkan/0000-0003-2649-104X
dc.authoridDaskaya, Hayrettin/0000-0002-0155-1387
dc.authoridKepekci, Ali Bestemi/0000-0002-5215-9545
dc.authorwosidKhashayar, Patricia/C-2738-2009
dc.authorwosidinal, volkan/A-6069-2018
dc.authorwosidDaskaya, Hayrettin/O-7814-2016
dc.authorwosidKepekci, Ali Bestemi/AAJ-2738-2020
dc.contributor.authorCiftci, Taner
dc.contributor.authorKepekci, Ali Bestemi
dc.contributor.authorYavasca, Hatice Pjnar
dc.contributor.authorDaskaya, Hayrettin
dc.contributor.authorInal, Volkan
dc.date.accessioned2024-06-12T11:17:48Z
dc.date.available2024-06-12T11:17:48Z
dc.date.issued2015
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObesity has a significant effect on the cephalic spread of a spinal block (SB) due to a reduction in cerebrospinal fluid (CSF). SB is controlled by the tissue blood flow in addition to the CSF. Some positions and techniques of surgery used can cause changes in hemodynamics. We investigated effects of hemodynamic changes that may occur during Transurethral prostate resection (TURP) and lithotomy position (LP) at the SB level in obese versus nonobese individuals. Sixty patients who had undergone TUR-P operation under spinal anesthesia were divided into a nonobese (BMI < 25 kg/m(2), Group N) or obese (BMI >= 30 kg/m(2), GroupO) group. SB assessments were recorded afterthe LP. SB at 6 and 120 min and the peak SB level were compared between two groups. Hemodynamics were recorded after LP. Peak and 6 min SB levels were similar between the groups, while 120 min SB levels were significantly higher for Group O (P < 0.05). Blood pressure (BP) after the LP was significantly higher for Group N (P < 0.05). LP and TUR-P increased the BP in Group N when compared to Group O. The increase in hemodynamics enhances the blood flow in the spinal cord and may form similar SB levels in nonobese patients to those in obese patients. However, SB time may be longer in obese patients.en_US
dc.identifier.doi10.1155/2015/453939
dc.identifier.issn2314-6133
dc.identifier.issn2314-6141
dc.identifier.pmid26064913en_US
dc.identifier.scopus2-s2.0-84929352884en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1155/2015/453939
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24854
dc.identifier.volume2015en_US
dc.identifier.wosWOS:000354301700001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHindawi Ltden_US
dc.relation.ispartofBiomed Research Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCerebrospinal-Fluid Volumeen_US
dc.subjectBody-Massen_US
dc.subjectBupivacaineen_US
dc.subjectSpreaden_US
dc.subjectAnalgesiaen_US
dc.titleThe Levels and Duration of Sensory and Motor Blockades of Spinal Anesthesia in Obese Patients That Underwent Urological Operations in the Lithotomy Positionen_US
dc.typeArticleen_US

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