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Korean Journal of Anesthesiology 1991;24(4):760-763.
DOI: https://doi.org/10.4097/kjae.1991.24.4.760   
Effect of Volume on Hypobaric Spinal Anesthesia for Perianal Surgery with Prone Jacknife Position .
Yang Sik Shin, Kyoung Min Lee, Hyo Keun Lee, Jong Rae Kim, Sung Cheol Nam
1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
2Department of Anesthesiology, Cheil Hospital, Seoul, Korea.
Abstract
The effect of anesthetic volume on the spread of hypobaric tetracaine were sutdied after intrathecal injection in thirty patients with prone jackknife and 15 degree Trendelenburg position for perinal surgery. The patients were assigned randomly into the one of three groups divided by the 3, 4, or 5 ml of volume of anesthetic solution. The results show that the volume of tetracaine in distilled water with hypobaric spinal anesthesia in prone jackknife and l5 degree Trendelenburg position had a important effect on the anesthetic dermatomal levels in spite of slightly rapid onset with large. volume. Therefore, we concluded that for the perianal surgery in prone jackknife position, as the volume of the anes- thetic solution with hypobaric spinal anesthesia, 3 or 4 ml of the volume are sufficient to get the adequate anesthetic levels.
Key Words: Spinal; Hypobaric; Volume of anesthetic; Anesthetic level


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