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The authors would like to investigate the blocking characteristics, surgical quality and side effects of intrathecal levobupivacaine whether there are any differences between the hyperbaric and the isobaric formulation for gynaecologic surgeries which need higher block level than the urological surgeries.
The investigators study in the similar patients, give the same intervention except the baricity of levobupivacaine. The investigators record the level of sensory block and modified Bromage score for motor blockade.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| isobaric levobupivacaine | Active Comparator | spinal isobaric levobupivacaine |
|
| hyperbaric levobupivacaine | Active Comparator | hyperbaric levobupivacaine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| isobaric levobupivacaine | Drug | 0.42% either isobaric levobupivacaine 3 ml spinal injection once |
|
| Measure | Description | Time Frame |
|---|---|---|
| time to T4-dermatome sensory blockade | to investigate specific blocking characteristics of intrathecal hyperbaric levobupivacaine compared with isobaric levobupivacaine for gynaecologic surgery | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| side effects | to investigate side effects of intrathecal hyperbaric levobupivacaine compared with isobaric levobupivacaine for gynaecologic surgery | 1 to 4 hours intraoperation plus within 2 hours in the recovery room |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vimolluck - Sanansilp, MD | Dept of Anesthesiology, Faculty of Medicine Siriraj Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine Siriraj Hospital, Mahidol University | Bangkok | 10700 | Thailand |
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| ID | Term |
|---|---|
| D004194 | Disease |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077554 | Levobupivacaine |
| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| hyperbaric levobupivacaine | Drug | 0.42% hyperbaric levobupivacaine 3 ml spinal injection once |
|
|
| Aniline Compounds |
| D000588 | Amines |