title: Comparison of intrathecal plain articaine and levobupivacaine with fentanyl for Caesarean section.
abstract: Articaine is used as a local anesthetic for outpatient surgery because it offers rapid onset of anesthesia and short duration motor block. Levobupivacaine is often preferred for Caesarean section. We evaluated the anesthetic characteristics of fentanyl-supplemented plain articaine and levobupivacaine for Caesarean section under combine spinal epidural anesthesia.
  
  
  
  Patients undergoing Caesarean section received in random order plain articaine 40 mg (Group A, n=50) or plain levobupivacaine 10 mg (Group L, n=50) mixed with fentanyl 20 µg intrathecally. The onset and duration of sensory and motor block, first analgesic request, and hemodynamic parameters were recorded.
  
  
  
  Onset times of maximum motor block were longer in Group L than Group A (P=0,001). Time to two-segment regression of sensory block were 70 min for Group A and 90 min group L (P=0.001). Times to complete regression of motor blockade were significantly longer in group L than group A (P =0,001).
  
  
  
  To have a faster onset and shorter duration of spinal anesthesia, we recommend the use of plain articaine for Caesarean section.
authors.affiliation: . Email@email.com.
authors.forename: Rüveyda I
authors.initials: RI
authors.lastname: Demircioglu
authors.forename: Muhammet
authors.initials: M
authors.lastname: Gozdemir
authors.forename: Burhanettin
authors.initials: B
authors.lastname: Usta
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Sert
authors.forename: Safinaz
authors.initials: S
authors.lastname: Karabayirli
authors.forename: Bünyamin
authors.initials: B
authors.lastname: Muslu
authors.forename: Esra A
authors.initials: EA
authors.lastname: Keskin
mesh_terms: D000293:Adolescent; D000328:Adult; D019162:Anesthetics, Combined / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D002355:Carticaine / Q000008:administration & dosage*; D002585:Cesarean Section; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage*; D006801:Humans; D007278:Injections, Spinal; D000077554:Levobupivacaine; D008875:Middle Aged
chemical_list: D019162:Anesthetics, Combined; D000077554:Levobupivacaine; D002355:Carticaine; D005283:Fentanyl; D002045:Bupivacaine