Disease (or Disorder); Gynecological, Observation of Neuromuscular Block
Conditions
Keywords
abdominal incision, hyperbaric, isobaric, levobupivacaine, spinal anaesthesia
Brief summary
The authors would like to investigate the blocking characteristics, surgical quality and side effects of intrathecal levobupivacaine whether there are any differences between the hyperbaric and the isobaric formulation for gynaecologic surgeries which need higher block level than the urological surgeries.
Detailed description
The investigators study in the similar patients, give the same intervention except the baricity of levobupivacaine. The investigators record the level of sensory block and modified Bromage score for motor blockade.
Interventions
0.42% either isobaric levobupivacaine 3 ml spinal injection once
0.42% hyperbaric levobupivacaine 3 ml spinal injection once
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I-III, aged 18-70 yr, scheduled for elective gynaecologic surgery, (total abdominal hysterectomy (TAH), TAH with uni-/bilateral salpingo-oophorectomy (SO), uni-/bilateral ovarian cystectomy, or myomectomy
Exclusion criteria
* contraindications for spinal block, body mass index (BMI) more than 35 kg/m2 and height less than 150 cm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time to T4-dermatome sensory blockade | 30 minutes | to investigate specific blocking characteristics of intrathecal hyperbaric levobupivacaine compared with isobaric levobupivacaine for gynaecologic surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| side effects | 1 to 4 hours intraoperation plus within 2 hours in the recovery room | to investigate side effects of intrathecal hyperbaric levobupivacaine compared with isobaric levobupivacaine for gynaecologic surgery |
Countries
Thailand