Journal of Clinical Anesthesia
Volume 21, Issue 6 , Pages 408-413 , September 2009

Spread of spinal anesthesia in patients having perianal surgery in the jackknife position: effects of baricity of 0.5% bupivacaine and positioning during and after induction of spinal anesthesia

  • Jun Ariyama, MD (Assistant Professor)

      Affiliations

    • Division of Anesthesia, Tonami General Hospital, Tonami, Toyama, Japan
    • Department of Anesthesiology, Saitama Medical University International Medical Center, Hidaka, Saitama 350-1241, Japan
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology, Saitama Medical University International Medical Center, Hisaka, Saitama 350-1241, Japan. Tel.: +81 42 984 4111; fax: +81 49 984 4121.
    • ,
  • Masakazu Hayashida, MD (Professor)

      Affiliations

    • Department of Anesthesiology, Saitama Medical University International Medical Center, Hidaka, Saitama 350-1241, Japan
    • ,
  • Yuji Sugimoto, MD (Staff Anesthesiologist)

      Affiliations

    • Division of Anesthesia, Tonami General Hospital, Tonami, Toyama, Japan
    • ,
  • Hirokazu Imanishi (Staff Anesthesiologist)

      Affiliations

    • Division of Anesthesia, Tonami General Hospital, Tonami, Toyama, Japan
    • ,
  • Yoshiko To-oyma, MD (Staff Anesthesiologist)

      Affiliations

    • Division of Anesthesia, Tonami General Hospital, Tonami, Toyama, Japan
    • ,
  • Akira Kitamura, MD (Professor)

      Affiliations

    • Department of Anesthesiology, Saitama Medical University International Medical Center, Hidaka, Saitama 350-1241, Japan

Received 21 December 2007 ,Revised 5 November 2008 ,Accepted 15 November 2008.

References 

  1. Brown DL. Spinal, epidural, and caudal anesthesia. In:  Miller RD editors. Anesthesia. 5th ed.. New York: Churchill Livingstone, Inc; 2002;p. 1491–1519
  2. Bridenbaugh P, Greene N. Spinal (subarachnoid) neural blockade. In:  Cousins MJ,  Bridenbaugh PO editor. Clinical Anesthesia and Management of Pain. 2nd ed.. Philadelphia: J.B. Lippincott Co.; 1988;p. 231
  3. Povey HM, Olsen PA, Phil H. Spinal analgesia with hyperbaric 0.5% bupivacaine: effects of different patient position. Acta Anaesthesiol Scand. 1987;31:616–619
  4. Kim JT, Shim JK, Kim SH. Trendelenburg position with hip flexion as a rescue strategy to increase spinal anesthetic level after spinal block. Br J Anaesth. 2007;98:396–400
  5. Povey HM, Jacobsen J, Westergaard-Nielsen J. Subarachnoid analgesia with hyperbaric 0.5% bupivacaine: effect of a 60-min period of sitting. Acta Anaesthesiol Scand. 1989;33:295–297
  6. Veering BT, Immink-Speet TT, Burm AG. Spinal anesthesia with 0.5% hyperbaric bupivacaine in elderly patients: effects of duration spent in the sitting position. Br J Anaesth. 2001;87:738–742
  7. Chambers WA, Edstrom HH, Scott DB. Effect of baricity on spinal anaesthesia with bupivacaine. Br J Anaesth. 1981;53:279–282
  8. Roberts FL, Brown EC, Davis R, et al. Comparison of hyperbaric and plain bupivacaine with hyperbaric cinchocaine as spinal anaesthetic agents. Anaesthesia. 1989;44:471–474
  9. Bannister J, McClure JH, Wildsmith JA. Effect of glucose concentration on the intrathecal spread of 0.5% bupivacaine. Br J Anaesth. 1990;64:232–234
  10. Van Gessel EF, Forster A, Schweizer A, et al. Comparison of hypobaric, hyperbaric, and isobaric solutions of bupivacaine during continuous spinal anesthesia. Anesth Analg. 1991;72:779–784
  11. Mitchell RW, Bowler GM, Scott DB, et al. Effects of posture and baricity on spinal anaesthesia with 0.5% bupivacaine 5 ml. A double-blind study. Br J Anaesth. 1988;61:139–143
  12. Stienstra R, van Poorten JF. Plain or hyperbaric bupivacaine for spinal anesthesia. Anesth Analg. 1987;66:171–176
  13. Kohler F, Sorensen JF, Helbo-Hansen HS. Effect of delayed supine positioning after induction of spinal anesthesia for caesarean section. Acta Anaesthesiol Scand. 2002;46:441–446
  14. Patel M, Samsoon G, Swami A, et al. Posture and spread of hyperbaric bupivacaine in parturients using the combined spinal epidural technique. Can J Anaesth. 1993;40:943–946
  15. Coppejans HC, Hendrickx E, Goossens J, et al. The sitting versus right lateral position during combined spinal-epidural anesthesia for cesarean delivery: block characteristics and severity of hypotension. Anesth Analg. 2006;102:243–247
  16. Sundnes KO, Vaagenes P, Skretting P, Lind B, Edstrom HH. Spinal analgesia with hyperbaric bupivacaine: effects of volume of solution. Br J Anaesth. 1982;54:69–74
  17. Wildsmith JA, McClure JH, Brown DT, et al. Effects of posture on the spread of isobaric and hyperbaric amethocaine. Br J Anaesth. 1981;53:273–278
  18. Hallworth SP, Fernando R, Columb MO, et al. The effect of posture and baricity on the spread of intrathecal bupivacaine for elective cesarean delivery. Anesth Analg. 2005;100:1159–1165
  19. Mihic DN. Is 0.5% bupivacaine solution isobaric?. Reg Anaesth. 1984;7:89–93
  20. Malinovsky JM, Renaud G, Le Corre P, et al. Intrathecal bupivacaine in humans: influence of volume and baricity of solutions. Anesthesiology. 1999;91:1260–1266
  21. Alston RP. Spinal anaesthesia with 0.5% bupivacaine 3 ml: comparison of plain and hyperbaric solutions administered to seated patients. Br J Anaesth. 1988;61:385–389
  22. Russell IF, Holmqvist EL. Subarachnoid analgesia for caesarean section. A double-blind comparison of plain and hyperbaric 0.5% bupivacaine. Br J Anaesth. 1987;59:347–353
  23. Vercauteren MP, Coppejans HC, Hoffmann VL, et al. Small-dose hyperbaric versus plain bupivacaine during spinal anesthesia for cesarean section. Anesth Analg. 1998;86:989–993
  24. Richardson MG, Collins HV, Wissler RN. Intrathecal hypobaric versus hyperbaric bupivacaine with morphine for cesarean section. Anesth Analg. 1998;87:336–340
  25. Sarvela PJ, Halonen PM, Korttila KT. Comparison of 9 mg of intrathecal plain and hyperbaric bupivacaine both with fentanyl for cesarean delivery. Anesth Analg. 1999;89:1257–1262
  26. Hatada T, Kusunoki M, Sakiyama T, et al. Hemodynamics in the prone jackknife position during surgery. Am J Surg. 1991;162:55–58

PII: S0952-8180(09)00214-1

doi: 10.1016/j.jclinane.2008.11.008

Journal of Clinical Anesthesia
Volume 21, Issue 6 , Pages 408-413 , September 2009

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