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Anesth Analg 1988; 67:272-276
© 1988 International Anesthesia Research Society
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The Temperature of Bupivacaine 0.5% Affects the Sensory Level of Spinal Anesthesia

R. Stienstra, MD, and J. F. van Poorten, MD

Department of Anesthesiology, Reinier de Graaf Gasthius 2625 AD DELFT, The Netherlands.

Abstract

Three milliliters of plain bupivacaine 0.5% was injected intrathecally in two groups of 20 patients. Group 1 received a solution that had been equilibrated to 37°C, group 2 received a solution that had been equilibrated to 4°C. Patients were kept sitting for 3 minutes after injection. All observations were observer-blind. The differences between segmental levels of sensory loss between groups 1 and 2 (T4 and T9, respectively) and of temperature loss (T3 and T8, respectively) 10 and 20 minutes after injection of bupivacaine were statistically significant. It is concluded that the time needed forthermal equilibration in the cerebrospinal fluid and hence temperature of the injected solution plays an important role in the seasory spread of plain bupivacaine 0.5%.

Key Words: ANESTHETIC TECHNIQUES—spinal • ANESTHETICS, LOCAL—bupivacaine




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1988 by the International Anesthesia Research Society.