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Korean Journal of Anesthesiology 1992;25(3):531-535.
DOI: https://doi.org/10.4097/kjae.1992.25.3.531   
Effect of Hyperbaric Bupivacaine Spinal Anesthesia with Epinephrine.
Jong Han Chae, Jong Dal Chung
Department of Anesthesiology, College of Medicine, Chosun University, Kwang Ju, Korea.
Abstract
The effect of spinal anesthesia with hyperbaric bupivacaine with and without 1: 1000 epinephrine were studied in 35 patients. Patients in group A received 0.4% hyperbaric bypivacaine 20 mg and patients in group B received the same anesthetic, only 0.2 mg of epinephrine was mixed to it. The following results were obtained. 1) The highest level of sensory loss was similar in both groups. 2) The duration of sensory loss was significantly longer in group B(391+/-12.9 vs 289+/-18.8min, p<0.05) The duration of motor block was also significantly longer in group B than group A(254 +/-13.7 vs 17l+/-4.4 min). 3) The systolic blood pressure significantly decreased at 20-40 minutes after spinal anesthesia in both groups. 4) The pulse rate in group A significantly increased at 2-10 minutes after spinal anesthesia and in group B, it decreased significantly at 45-50 minutes after spinal anesthesia.
Key Words: Hyperbaric bupivacaine; Spinal anesthesia epinephrine


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