Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.19, sa.1, ss.20-25, 2011 (Scopus)
Objective: Spinal anesthesia provides fast and deep sensorial and motor blockage by administration of small amount of local anesthetics to the subarachnoid space and this technigue is used commonly. In this study, it is aimed to determine how different anesthesia preferences effect the characteristics, results and complications of spinal anesthesia. Material and Method: Between January 2007 and December 2008, all spinal anesthesia administrations performed by the Anesthesiology and Reanimation Department of Uludaǧ University Medical Faculty were analysed retrospectively. Results: Urological procedures were the most common procedures (%38,8) in our spinal anesthesia practices and as position lateral decubitis (%91,4), as needle type pencil-point needle (%92,8), as size twenty five gauge needle (%84,1), as location L3-4 interspinous space (%69,2), as local anesthetic hyperbaric bupivacaine (%89,2), and as adjuvant drug fentanyl (%5,2) were the most commonly preferred in our spinal anesthesia techniques. Sensorial blockage was seen in T10 level most commonly. Forty seven (%2.9) patients had general anesthesia after spinal anesthesia. When comparing the variations like needle size, position, premedication and additionial sedation, there was no statistically significant result. Conclusion: The distribition of local anesthetics used in spinal anesthesia in the cerebrospinal liquid is effected by a lot of factors. These factors are generally related with amount of cerebrospinal liquid, dosage of the drug used, side of the enjection, position and conditions of patient. These factors often depend on the preference of the anesthesiologist who will manage the technique. In a conclusion; different spinal anesthesia preferences effect spinal anesthesia characteristics and these preferences may change by time and by new studies.