التخدير الذيلي للعمليات الشرجية الجراحية

Authors

  • رزق الله إبراهيم
  • سجيع مسعود
  • غاندي علي

Abstract

أجريت الدراسة في مشفى الأسد الجامعي في اللاذقية في قسم التخدير و الإنعاش بالتعاون مع قسم الجراحة العامة خلال العام 2005 – 2006 وتضمنت 60 مريضاً خضع كل واحد منهم لعملية شرجية جراحية تحت التخدير الذيلي.

و كانت نتائج الدراسة على النحو الآتي:

  • لم تحدث تغيرات قلبية وعائية ذات أهمية.
  • حدث الفشل في إيجاد الفرضة العجزية بنسبة 10 %.
  • حدث الأسر البولي بنسبة 15 %.
  • لم يحدث الحقن داخل الوريد أو العظم أو بزل الجافية.
  • حدث ألم أثناء الحقن عند 20 %.
  • كانت فترة الكمون: ( 10 ) دقائق بالنسبة لليدوكائين و بالنسبة للمزيج ( ليدوكائين  + بوبيفاكائين ).

( 15 ) دقيقة بالنسبة للبوبيفاكائين.

  • كانت مدة الحصار: ( 90 ) دقيقة بالنسبة لليدوكائين.

( 120 ) دقيقة بالنسبة للبوبيفاكائين وبالنسبة للمزيج ( ليدوكائين  + بوبيفاكائين ).

This study was carried out in the Department of Anesthesia and Reanimation in collaboration with the Department of General Surgery at AL-ASSAD University Hospital, Lattakia, during the year 2005-2006. It included 60 patients who underwent to anal surgery under caudal anesthesia.

The results were as follows:

  • There were no significant cardiovascular changes.
  • We could not find sacral hiatus in 10%.
  • Urinary retention occurred in 15%.
  • There was no intravenous or intraosseous injection or durapuncture.
  • There were pain during injection in 20%.
  • Latent period was:

(10 ) minutes for lidocaine and for the mixture (lidocaine + bupivacaine ).

(15 ) minutes for  bupivacaine.

  • Time of block was:

(90) minutes for  lidocaine.

(120) minutes for bupivacaine and for the mixture (lidocaine + bupivacaine ).

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Published

2019-01-14

How to Cite

1.
إبراهيم را, مسعود س, علي غ. التخدير الذيلي للعمليات الشرجية الجراحية. Tuj-hlth [Internet]. 2019Jan.14 [cited 2024Nov.24];28(2). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6395

Issue

Vol. 28 No. 2 (2006): العلوم الصحية

Section

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