Year 2020, Volume 59 , Issue 3, Pages 181 - 187 2020-09-30

Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial
Üreterorenoskopi için spinal anestezi sırasında kristalloid preloada karşı kristalloid koload: Randomize kontrollü çalışma

Nurhayat KILINÇ [1] , Mustafa Nuri DENİZ [2] , Elvan ERHAN [3]


Aim: The optimal strategy of fluid administration during spinal anesthesia is still unclear. In this double-blind randomized study, we assessed the timing of fluid administration for spinal anesthesia in patients undergoing ureterorenoscopy. Materials and Methods: 60 ASA I-III patients scheduled for anesthesia were randomly allocated to receive either 500 ml crystalloid preload (30 minutes before spinal anesthesia) or 500 ml crystalloid coload (at the start of spinal anesthesia). Ephedrine 5 mg boluses were administered when the systolic blood pressure decreased more than 20% of the baseline value. Atropine 0.5 mg was given to the patients whose heart rate decreased bellow 50 beats/minutes. Hemodynamic variables were recorded during the surgery. Results: The groups were compared in terms of demographic data and surgical time and there was no difference between them. In Group II, only 1 patient needed ephedrine, while in Group I, no patient was administered ephedrine. No patients in both groups needed atropine for bradycardia. There was no difference between the groups in terms of the need for ephedrine. Conclusion: Crystalloid preload and crystalloid coload administration do not differ in terms of the need for vasopressor agents in patients undergoing ureterorenoscopy under spinal anesthesia
Amaç: Spinal anestezi sırasında optimal sıvı yönetimi stratejisi hala belirsizdir. Bu çift kör randomize çalışmada, üreterorenoskopi yapılan hastalarda spinal anestezi için sıvı uygulamasının zamanlamasını değerlendirdik. Gereç ve Yöntem: Anestezi alması planlanan 60 ASA I-III hasta, 500 ml kristalloid preload (spinal anesteziden 30 dakika önce) veya 500 ml kristalloid koload (spinal anestezinin başlangıcında) alacak şekilde rastgele ayrıldı. Sistolik kan basıncı, bazal değerin %20'sinden daha fazla azaldığında, Efedrin 5 mg bolus uygulandı. Kalp atım hızı 50 atım/dakikaya düşen hastalara atropin 0,5 mg verildi. Ameliyat sırasında hemodinamik değişkenler kaydedildi. Bulgular: Gruplar demografik veriler ve cerrahi süre açısından karşılaştırıldı. Gruplar arasında demografik veriler ve operasyon süreleri açısından herhangi bir fark saptanmadı. Grup II'de sadece bir hastada efedrin gereksinimi olurken Grup I'de hiçbir hastaya efedrin uygulanmadı. Her iki grupta da hiçbir hastada bradikardi için atropine ihtiyaç duyulmadı. Gruplar arasında efedrin ve atropine gereksinimi açısından herhangi bir fark saptanmadı. Sonuç: Üreterorenoskopi yapılan hastalarda, spinal anestezi öncesi ve spinal anestezi sırasında uygulanan kristalloid infüzyonları, vazopressör ajanlarına ihtiyaç açısından farklılık oluşturmamaktadır
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0001-6506-1443
Author: Nurhayat KILINÇ
Institution: EGE UNIVERSITY
Country: Turkey


Orcid: 0000-0002-6455-9132
Author: Mustafa Nuri DENİZ (Primary Author)
Institution: EGE UNIVERSITY
Country: Turkey


Orcid: 0000-0001-7118-7843
Author: Elvan ERHAN
Institution: EGE UNIVERSITY
Country: Turkey


Dates

Application Date : October 25, 2019
Acceptance Date : March 5, 2020
Publication Date : September 30, 2020

Bibtex @research article { etd790402, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2020}, volume = {59}, pages = {181 - 187}, doi = {10.19161/etd.790402}, title = {Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial}, key = {cite}, author = {Kılınç, Nurhayat and Deni̇z, Mustafa Nuri and Erhan, Elvan} }
APA Kılınç, N , Deni̇z, M , Erhan, E . (2020). Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial . Ege Tıp Dergisi , 59 (3) , 181-187 . DOI: 10.19161/etd.790402
MLA Kılınç, N , Deni̇z, M , Erhan, E . "Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial" . Ege Tıp Dergisi 59 (2020 ): 181-187 <http://egetipdergisi.com.tr/en/pub/issue/56685/790402>
Chicago Kılınç, N , Deni̇z, M , Erhan, E . "Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial". Ege Tıp Dergisi 59 (2020 ): 181-187
RIS TY - JOUR T1 - Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial AU - Nurhayat Kılınç , Mustafa Nuri Deni̇z , Elvan Erhan Y1 - 2020 PY - 2020 N1 - doi: 10.19161/etd.790402 DO - 10.19161/etd.790402 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 181 EP - 187 VL - 59 IS - 3 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.790402 UR - https://doi.org/10.19161/etd.790402 Y2 - 2020 ER -
EndNote %0 Ege Tıp Dergisi Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial %A Nurhayat Kılınç , Mustafa Nuri Deni̇z , Elvan Erhan %T Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial %D 2020 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 59 %N 3 %R doi: 10.19161/etd.790402 %U 10.19161/etd.790402
ISNAD Kılınç, Nurhayat , Deni̇z, Mustafa Nuri , Erhan, Elvan . "Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial". Ege Tıp Dergisi 59 / 3 (September 2020): 181-187 . https://doi.org/10.19161/etd.790402
AMA Kılınç N , Deni̇z M , Erhan E . Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial. ETD. 2020; 59(3): 181-187.
Vancouver Kılınç N , Deni̇z M , Erhan E . Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial. Ege Tıp Dergisi. 2020; 59(3): 181-187.