Effects of adding epinephrine plus fentanyl to low-dose lidocaine for spinal anesthesia in outpatient knee arthroscopy

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dc.contributor.buuauthorTürker, Gürkan
dc.contributor.buuauthorUçkunkaya, Nesimi
dc.contributor.buuauthorYılmazlar, Aysun
dc.contributor.buuauthorDemirağ, Burak
dc.contributor.buuauthorTokat, Oğuz
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-3019-581Xtr_TR
dc.contributor.researcheridAAI-6642-2021tr_TR
dc.contributor.scopusid7003400116tr_TR
dc.contributor.scopusid6701807296tr_TR
dc.contributor.scopusid55899579900tr_TR
dc.contributor.scopusid56019156900tr_TR
dc.contributor.scopusid6603597913tr_TR
dc.date.accessioned2023-03-24T07:05:13Z
dc.date.available2023-03-24T07:05:13Z
dc.date.issued2003-09
dc.description.abstractBackground: This study investigated whether addition of 15 mug epinephrine plus 25 mug fentanyl to lidocaine spinal anesthesia for outpatient knee arthroscopy makes it possible to use a subanesthetic lidocaine dose. The aim was to assess the quality of anesthesia and the suitability of this protocol for outpatient knee arthroscopy. Methods: Seventy-five outpatients scheduled for knee arthroscopy were randomly assigned to one of three spinal anesthetic protocols: Group L10F25 received 10 mg of lidocaine plus 25 mug fentanyl; Group L10F25E15 received 10 mg of lidocaine plus 25 mug fentanyl plus 15 mug epinephrine; and Group L20F25 received 20 mug lidocaine plus 25 mug fentanyl. Tourniquet pain and surgical pain were assessed using a visual analog scale. If spinal anesthesia was inadequate despite supplementary intravenous analgesia and sedation, the patient was converted to general anesthesia. Recovery times and side-effects in the early postoperative period were recorded. Results: The highest level of sensory block was above the T12 dermatome in all patients. Compared with the other groups, significantly more patients in Group L10F25 converted to general anesthesia. Group L10F25 had a significantly higher mean surgical pain score than the other groups. The mean tourniquet pain score was significantly higher in Group L20F25 than Group L10F25E15. Group L10F25E15 had a significantly shorter time to discharge than the other groups. Post-operative nausea and vomiting and drowsiness were more frequent in Group L10F25 than in the other groups. Conclusion: The combination of 10 mg lidocaine and 25 mug fentanyl plus 15 mug epinephrine provides adequate spinal anesthesia and has favorable recovery characteristics for outpatient knee arthroscopy.en_US
dc.identifier.citationTürker, G. vd. (2003). “Effects of adding epinephrine plus fentanyl to low-dose lidocaine for spinal anesthesia in outpatient knee arthroscopy”. Acta Anaesthesiologica Scandinavica, 47(8), 986-992.en_US
dc.identifier.endpage992tr_TR
dc.identifier.issn0001-5172
dc.identifier.issue8tr_TR
dc.identifier.pubmed12904191tr_TR
dc.identifier.scopus2-s2.0-0041932134tr_TR
dc.identifier.startpage986tr_TR
dc.identifier.urihttps://doi.org/10.1034/j.1399-6576.2003.00194.x
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/full/10.1034/j.1399-6576.2003.00194.x
dc.identifier.urihttp://hdl.handle.net/11452/31724
dc.identifier.volume47tr_TR
dc.identifier.wos000184660100010tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.journalActa Anaesthesiologica Scandinavicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnesthesiologyen_US
dc.subjectAnesthesia-ambulatoryen_US
dc.subjectEpinephrineen_US
dc.subjectFentanylen_US
dc.subjectKnee arthroscopyen_US
dc.subjectLidocaineen_US
dc.subjectSpinalen_US
dc.subjectTransient neurologic symptomsen_US
dc.subjectTourniquet painen_US
dc.subjectPostoperative complaintsen_US
dc.subjectHyperbaric bupivacaineen_US
dc.subjectGeneral-anesthesiaen_US
dc.subjectAmbulatory surgeryen_US
dc.subjectBlood-flowen_US
dc.subjectCorden_US
dc.subjectPhenylephrineen_US
dc.subjectLaparoscopyen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAnalgesiaen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeClinical trialen_US
dc.subject.emtreeControlled clinical trialen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeDermatomeen_US
dc.subject.emtreeDouble blind procedureen_US
dc.subject.emtreeDrowsinessen_US
dc.subject.emtreeDrug efficacyen_US
dc.subject.emtreeDysesthesiaen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeGeneral anesthesiaen_US
dc.subject.emtreeHeadacheen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeKnee arthroscopyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeOutpatient departmenten_US
dc.subject.emtreePain assessmenten_US
dc.subject.emtreePostoperative nauseaen_US
dc.subject.emtreePostoperative painen_US
dc.subject.emtreePostoperative vomitingen_US
dc.subject.emtreePriority journalen_US
dc.subject.emtreePruritusen_US
dc.subject.emtreeRandomized controlled trialen_US
dc.subject.emtreeScoring systemen_US
dc.subject.emtreeSedationen_US
dc.subject.emtreeSpinal anesthesiaen_US
dc.subject.emtreeVisual analog scaleen_US
dc.subject.emtreeAdrenalinen_US
dc.subject.emtreeFentanylen_US
dc.subject.emtreeLidocaineen_US
dc.subject.emtreeMidazolamen_US
dc.subject.emtreeNitrous oxideen_US
dc.subject.emtreeOxygenen_US
dc.subject.emtreePropofolen_US
dc.subject.emtreeSevofluraneen_US
dc.subject.meshAdulten_US
dc.subject.meshAmbulatory surgical proceduresen_US
dc.subject.meshAnesthesia, spinalen_US
dc.subject.meshArthroscopyen_US
dc.subject.meshDouble-blind methoden_US
dc.subject.meshEpinephrineen_US
dc.subject.meshFemaleen_US
dc.subject.meshFentanylen_US
dc.subject.meshHumansen_US
dc.subject.meshKneeen_US
dc.subject.meshLidocaineen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshPostoperative nausea and vomitingen_US
dc.subject.meshProspective studiesen_US
dc.subject.meshSpinal corden_US
dc.subject.scopusLocal Anaesthetic; Spinal Anesthesia; Bupivacaineen_US
dc.subject.wosAnesthesiologyen_US
dc.titleEffects of adding epinephrine plus fentanyl to low-dose lidocaine for spinal anesthesia in outpatient knee arthroscopyen_US
dc.typeArticle
dc.wos.quartileQ2en_US

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