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Your search keyword '"A. Abengochea"' showing total 8 results
Start Over Author "A. Abengochea" Topic anesthesia, spinal
8 results on '"A. Abengochea"'

2. Intrathecal local anaesthetics in ambulatory surgery.

Author

del-Rio-Vellosillo M, Garcia-Medina JJ, Abengochea-Cotaina A, and Pinazo-Duran MD

Subjects
Female, Humans, Male, Ambulatory Surgical Procedures, Anesthesia, Spinal methods, Anesthetics, Local administration & dosage, Bupivacaine administration & dosage, Injections, Spinal, Procaine analogs & derivatives
Published
2014
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4. Spinal anesthesia for knee arthroscopy using isobaric bupivacaine and levobupivacaine: anesthetic and neuroophthalmological assessment.

Author

del-Rio-Vellosillo M, Garcia-Medina JJ, Abengochea-Cotaina A, Pinazo-Duran MD, and Barbera-Alacreu M

Subjects
Adolescent, Adult, Aged, Arthroscopy methods, Humans, Knee pathology, Levobupivacaine, Middle Aged, Anesthesia, Spinal methods, Bupivacaine administration & dosage, Bupivacaine analogs & derivatives, Knee surgery
Abstract

Introduction: The aim of the study was to compare the sensory, motor, and neuroophthalmological effects of isobaric levobupivacaine and bupivacaine when intrathecally administered., Materials and Methods: A prospective, double-blind, randomized study with 60 ASA grade I-II patients aged 18-65 years awaiting knee arthroscopy under spinal anesthesia. Patients received 12.5 mg of isobaric bupivacaine or levobupivacaine. Several features were recorded., Results: No significant intergroup differences were observed for ASA classification, time to micturate, demographic data, surgery duration, and patient/surgeon satisfaction. Similar hemodynamic parameters and sensory/motor blockade duration were found for both groups. There were no neuroophthalmological effects in either group. Sensory (P = 0.018) and motor blockade onset (P = 0.003) was faster in the bupivacaine group. T6 (T2-T12) and T3 (T2-T12) were the highest sensory block levels for the levobupivacaine and bupivacaine groups, respectively (P = 0.008). It took less time to regain maximum motor blockade in the bupivacaine group (P = 0.014), and the levobupivacaine group required use of analgesia earlier (P = 0.025)., Conclusions: Isobaric bupivacaine and levobupivacaine are analogous and well-tolerated anesthetics for knee arthroscopy. However, for bupivacaine, sensory and motor blockade onset was faster, and greater sensory blockade with a longer postoperative painless period was achieved.

Published
2014
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5. [Hyperbaric bupivacaine: a randomized double-blind trial of different doses with or without fentanyl for cesarean section under spinal anesthesia].

Author

Bernat García J, Gallego García J, and Abengochea Cotaina A

Subjects
Adult, Anesthetics, Local adverse effects, Anesthetics, Local pharmacokinetics, Bupivacaine adverse effects, Bupivacaine pharmacokinetics, Dose-Response Relationship, Drug, Double-Blind Method, Drug Synergism, Ephedrine therapeutic use, Female, Fentanyl adverse effects, Fentanyl pharmacology, Fluid Therapy, Heart Rate drug effects, Humans, Hypotension chemically induced, Hypotension drug therapy, Hypotension prevention & control, Infant, Newborn, Intraoperative Complications chemically induced, Intraoperative Complications drug therapy, Intraoperative Complications prevention & control, Male, Movement drug effects, Narcotics adverse effects, Narcotics pharmacology, Pain prevention & control, Pregnancy, Premedication, Pressure, Prospective Studies, Sensation drug effects, Anesthesia, Spinal methods, Anesthetics, Local administration & dosage, Bupivacaine administration & dosage, Cesarean Section, Fentanyl administration & dosage, Narcotics administration & dosage
Abstract

Objectives: To compare the effects of spinal anesthesia with different doses of hyperbaric bupivacaine with or without fentanyl in patients undergoing cesarean section., Material and Methods: Prospective study enrolling 50 ASA 1-2 patients undergoing cesarean section, randomized to 5 treatment groups. Groups A, B, C, and D received 15 microg of fentanyl and group X received no fentanyl. The doses of hyperbaric bupivacaine given in each group were as follows: 10 mg in Group A, 11 mg in group B, 12 mg in group C, 13 mg in group D, and 14 mg in group X., Results: Patients in groups A and B had greater hemodynamic stability than patients in groups C, D, or X (P < 0.05). The incidence of hypotension was 70% in group C and 80% in groups D and X. The sensory block reached level T4 in groups D and X and the motor block was complete in all cases. Postoperative analgesia lasted longer in group D with a mean (SD) duration of 202 (25) minutes than in group X with a mean duration of 194 (19) minutes. Assessment on a visual analog scale was under 3 in all groups except group A, where 2 patients required administration of propofol., Conclusions: Acceptable operative conditions with a low incidence of hypotension are provided with an 11 mg dose of hyperbaric bupivacaine.

Published
2007

7. Spinal Anesthesia for Knee Arthroscopy Using Isobaric Bupivacaine and Levobupivacaine: Anesthetic and Neuroophthalmological Assessment

Author

Antonio Abengochea-Cotaina, Monica del-Rio-Vellosillo, Maria D Pinazo-Duran, Jose Javier Garcia-Medina, and Manuel Barbera-Alacreu

Subjects
Adult, medicine.medical_specialty, Adolescent, Article Subject, lcsh:Medicine, Hemodynamics, Anesthesia, Spinal, General Biochemistry, Genetics and Molecular Biology, law.invention, Arthroscopy, Randomized controlled trial, law, medicine, Humans, Knee, Aged, Levobupivacaine, Bupivacaine, General Immunology and Microbiology, medicine.diagnostic_test, business.industry, lcsh:R, General Medicine, Middle Aged, Blockade, Surgery, Anesthesia, Anesthetic, Clinical Study, Isobaric process, business, medicine.drug
Abstract

Introduction.The aim of the study was to compare the sensory, motor, and neuroophthalmological effects of isobaric levobupivacaine and bupivacaine when intrathecally administered.Materials and Methods.A prospective, double-blind, randomized study with 60 ASA grade I-II patients aged 18–65 years awaiting knee arthroscopy under spinal anesthesia. Patients received 12.5 mg of isobaric bupivacaine or levobupivacaine. Several features were recorded.Results.No significant intergroup differences were observed for ASA classification, time to micturate, demographic data, surgery duration, and patient/surgeon satisfaction. Similar hemodynamic parameters and sensory/motor blockade duration were found for both groups. There were no neuroophthalmological effects in either group. Sensory (P=0.018) and motor blockade onset (P=0.003) was faster in the bupivacaine group. T6 (T2–T12) and T3 (T2–T12) were the highest sensory block levels for the levobupivacaine and bupivacaine groups, respectively (P=0.008). It took less time to regain maximum motor blockade in the bupivacaine group (P=0.014), and the levobupivacaine group required use of analgesia earlier (P=0.025).Conclusions.Isobaric bupivacaine and levobupivacaine are analogous and well-tolerated anesthetics for knee arthroscopy. However, for bupivacaine, sensory and motor blockade onset was faster, and greater sensory blockade with a longer postoperative painless period was achieved.

Published
2014

8. [Hyperbaric bupivacaine: a randomized double-blind trial of different doses with or without fentanyl for cesarean section under spinal anesthesia]

Author

J, Bernat García, J, Gallego García, and A, Abengochea Cotaina

Subjects
Adult, Male, Narcotics, Movement, Premedication, Sensation, Pain, Anesthesia, Spinal, Double-Blind Method, Heart Rate, Pregnancy, Pressure, Humans, Prospective Studies, Anesthetics, Local, Intraoperative Complications, Ephedrine, Dose-Response Relationship, Drug, Cesarean Section, Infant, Newborn, Drug Synergism, Bupivacaine, Fentanyl, Fluid Therapy, Female, Hypotension
Abstract

To compare the effects of spinal anesthesia with different doses of hyperbaric bupivacaine with or without fentanyl in patients undergoing cesarean section.Prospective study enrolling 50 ASA 1-2 patients undergoing cesarean section, randomized to 5 treatment groups. Groups A, B, C, and D received 15 microg of fentanyl and group X received no fentanyl. The doses of hyperbaric bupivacaine given in each group were as follows: 10 mg in Group A, 11 mg in group B, 12 mg in group C, 13 mg in group D, and 14 mg in group X.Patients in groups A and B had greater hemodynamic stability than patients in groups C, D, or X (P0.05). The incidence of hypotension was 70% in group C and 80% in groups D and X. The sensory block reached level T4 in groups D and X and the motor block was complete in all cases. Postoperative analgesia lasted longer in group D with a mean (SD) duration of 202 (25) minutes than in group X with a mean duration of 194 (19) minutes. Assessment on a visual analog scale was under 3 in all groups except group A, where 2 patients required administration of propofol.Acceptable operative conditions with a low incidence of hypotension are provided with an 11 mg dose of hyperbaric bupivacaine.

Published
2007

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