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Acta Medica Iranica، جلد ۵۱، شماره ۷، صفحات ۴۳۸-۴۴۳
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عنوان انگلیسی The hemodynamic effects of spinal block with low dose of bupivacaine and sufentanil in patients with low myocardial ejection fraction.
چکیده انگلیسی مقاله The aim of this study was to assess the effect of spinal block with low dose of bupivacaine and sufentanil on patients with low cardiac output who underwent lower limb surgery. Fifteen patients who had ejection fraction less than 40% (group 1) were compared with 65 cases with ejection fraction more than 40% (group 2) in our study. Our subjects underwent spinal block with 7.5 mg hyperbaric bupivacaine 0.5% and 5 µg sufentanil. We recorded early events such as hypotension, bradycardia, vasopressor need and ST segment change in our cases. The average mean arterial pressure decreased 13% (110 mmHg to 95.7 mmHg) in group 1 and 20% (160 mmHg to 128 mmHg) in group 2 (P< 0.001). Hypotension due to spinal anesthesia was observed in none of our subjects in both groups and none of our cases need to vasopressor support. All patients remained alert, and no ST segment changes were observed in two groups. In our study none of subjects complained of pain intraoperatively. The subjects were without complaints during the spinal anesthetic in both groups. Spinal block with low dose local anesthetic and sufentanil was a safe and effective method for lower limb surgery in patients with low ejection fraction.
کلیدواژه‌های انگلیسی مقاله Bupivacaine,Ejection fraction,Hypotension,Spinal block
نویسندگان مقاله مهدی صنعت کار | mehdi sanatkar
department of anesthesiology, razi hospital and farabi hospital, tehran university of medical sciences, tehran, iran. and department of anesthesiology, farabi hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

مصطفی صادقی | mostafa sadeghi
department of anesthesiology, shariati hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نفیسه اسماعیلی | nafiseh esmaeili
autoimmune bullous disease research center, razi hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

حسین صدرالسادات | hossein sadrossadat
department of anesthesiology, farabi hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

مهرداد shoroughi | mehrdad shoroughi
department of anesthesiology, farabi hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

شاهرخ قاضی زاده | shahrokh ghazizadeh
autoimmune bullous disease research center, razi hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

ابراهیم خوشرفتار | ebrahim khoshraftar
department of anesthesiology, besat hospital, hamedan university of medical sciences, hamedan, iran.


حسن پور انوری | hassan pour anvari
department of anesthesiology, besat hospital, hamedan university of medical sciences, hamedan, iran.


نسیم علیپور | nasim alipour
department of anesthesiology, besat hospital, hamedan university of medical sciences, hamedan, iran.
نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/4415
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