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1 20-26 /1391 /6 14 / 3 * (2) 91/3/20 :..(3) (4) 91/2/12 : 90/12/22 : : :. ( 35 32) 67 - :.... :.(P>0/05). 65/8 ± 38/6 55 ± 24/15 :.. : :.(1) sh_salehitali@yahoo.com : : * 20

2 (BMI) kg/m 2 BUN (Blood Urea Nitrogen) /01 mg/kg 20. ( ).(5) (7 6) Xu. 3.(8) Martin Nasuhara.(9).(10)..(5). : 67 - ( 30 32) 21

3 1391 /6 14 /. SPSS 18. P<0/05. (%64) :. (%36) 47/2 ± 14 45/5 ± 20/4 63/7 ± 11/9 67/7 ± 13/4.(P>0/05) ).(1.(2 ) (Bromage Scale). 5 L3 L2 L5 L4.(3) L4 :1 Pvalue 0/8 124/5 ± 22/8 123/9 ± 24/4 0/6 3/1 ± 1/5 3/3 ± 2/1 0/7 5/5 ± 1/9 5/2 ± 2/2 0/7 4/1 ± 1/8 4/0 ± 2/1 0/6 144/4 ± 22/6 141/9 ± 24/3. " ± " 22

4 :2 Echavarria 0/5..(13) Pvalue 0/66 0/001 0/05 20 ± 12/6 85 ± 23/4 65/8 ± 38/6.(14). Choroid Plexus.(16 15)..(17) 17/14 ± 10/7 139/9 ± 54/2 55 ± 24/15. " ± " :.(4). Deiner.(7 6) ( ).(11). Thornton CSF CSF 1/6.(12) 23

5 1391 /6 14 / :. :. 1. Hung MH. Pain and anesthetic. Anesthesia and Pain Medicine. 2008; 30(7): : 2. Field H, Martin JB. Cardinal manifestation & presentation of disease. In Harrisson TR. Principles of internal medicine. NewYork: McGrawHill; p: Wu YW, Shiau JM, Hong CC, Hung CP, Lu HF, Tseng CC. Intrathecal midazolam combined with low-dose bupivacaine improves postoperative recovery in diabetic mellitus patients undergoing foot debridement. Acta Anaesthesiol Taiwan Sep; 43(3): Foster DW. Diabetes mellitus. Ea Fauci AS. Harrison principios de medicina interna. 14 aed. Madrid: McGraw Hilli Interamerica; p: Imbelloni LE, Fornasari M, Fialho JC. Combined spinal epidural anesthesia during colon surgery in a high-risk patient: case report. Rev Bras Anestesiol Nov-Dec; 59(6): Greene NM. Distribution of local anesthetic solutions within the subarachnoid space. Anesth Analg Jul; 64(7): Stienstra R, Greene NM. Factors affecting the subarachnoid spread of local anesthetic solutions. Reg Anesth Jan-Feb; 16(1): Xu L, Guo QL, Yan JQ. Isobaric and hyperbaric local anesthetic used in spinal anesthesia. Anesthenal. 2001; 74: Martin R, Friagon C, chrestien A, tetaultyp, onset of spinal block is more rapid with isobaric than hyperbaric bupivacaine, department of anesthesia, university of sherbrooke, flaeurimont. Req Anesth. 2000; 16: Nasuhara H, Yokoyama K. The influence of baricity on differential blockade with 0.5% bupivacaine spinal anesthesia. Masui Sep; 50(9): Deiner SG, Kwatra SG, Lin HM, Weisz DJ. Patient characteristics and anesthetic technique are additive but not synergistic predictors of successful motor evoked potential monitoring. Anesth Analg Aug; 111(2): Thornton P, Shannon J, Loane H, Tyler J, Preston R. Spinal anesthesia with 0.5% isobaric bupivacaine in patients with diabetes mellitus: the influence of CSF composition on sensory and motor block. Eur J Anaesthesiol Aug; 26(8): Echevarria M, Hachero A, Martinez A, Ramallo E, García-Bernal D, et al. Spinal anesthesia with 0.5% isobaric bupivacaine in pations with diabetes mellitus : the influence of CSF composition on sensory and motor block. Eur J Anaesthesiol Dec; 25(12): Setayeshi KH, Hydari M, Mohamadi N, Najafi F, GS A. Comparison of Analgesic effects of Marcaine subcutaneous and subfascial administration on inguinal hernia surgery. Behbood J. 2010; 14(1): Vanna O, Chumsang L, Thongmee S. Levobupivacaine and bupivacaine in spinal anesthesia for transurethral endoscopic surgery. J Med Assoc Thai Aug; 89(8):

6 16. Schröder W, Schwagmeier R, Schmidt A, Nolte H. The effect of barbotage on the sensory spread in spinal anesthesia using isobaric and hyperbaric 0.5% bupivacaine. Reg Anaesth Sep; 13(7): Chang A.The physiology and pathology of Pain. Acta Anesthesiol Scand. 2002; 34:

7 Journal of Shahrekord University of Medical Sciences (J Shahrekord Univ Med Sci) 2013 Feb, March; 14(6): Original article The quality effectiveness of sensory and motor block in spinal anesthesia with hyperbaric marcaine in diabetic and non-diabetic patients Yadollahi F (MD) 1, Salehi Sh (MSc) 2*, Dehghan M (MD) 3 1 Anesthesiology Dept., Shahrekord University of Medical Sciences, Shahrekord, I.R. Iran; 2 Nursing Dept., Shahrekord University of Medical Sciences, Shahrekord, I.R. Iran; 3 Medical Plants Research Center., Shahrekord University of Medical Sciences, Shahrekord, I.R. Iran. Received: 12/Mar/2012 Revised: 1/May/2012 Accepted: 9/Jun/2012 Background and aims: The quantity and quality of sensory and motor block in spinal anesthesia with hyperbaric marcaine has not been investigated in diabetic patients. The present study was performed to detect the quality effectiveness of sensory and motor block in spinal anesthesia with hyperbaric marcaine in non-diabetic and diabetic patients. Methods: In a descriptive-analytical study, 67 patients (32 diabetic and 35 non-diabetics with abdomen and lower organ surgeris were selected. After transferring the patients to the operating room, 3 milliliters of hyperbaric marcaine was injected with speed seconds between the third and fourth lumbar vertebral space. After spinal anesthesia, onset patients assessed in terms of loss of pain, sensory block level, its duration and the start time and motor block. Data were collected using questionnaire, physical therapy, and patients records. Data were analyzed using statistical, independent t-test. Results: No significant differences in duration mean of anesthesia, mean time to reach the maximum level of sensory and motor blocks were discovered (P>0.05). The mean times of recovery residence were 55 ± and 65.8± 38.6 in case and control groups, respectively. Conclusion: Marcaine hyperbaric use in diabetic patients can make appropriate sedating effect like non-diabetic patients. There is no difference in terms of complications in two groups. Keywords: Diabetic, Hyperbaric marcaine, Sensory and motor block, Spinal anesthesia. Cite this article as: Yadollahi F, Salehi Sh, Dehghan M. The quality effectiveness of sensory and motor block in spinal anesthesia with hyperbaric marcaine in diabetic and non-diabetic patients. J Sharekord Univ Med Sci Feb, March; 14(6): * Corresponding author: Nursing Dept, Shahrekord University of Medical Sciences, Rahmatieh, Shahrekord, I.R. Iran. Tel: , 26

WITH ISOBARIC BUPIVACAINE (5 MG/ML)

, 49, 2013, 3 63 (5 MG/ML) (5 MG/ML).,.,.,..,..,, SPINAL ANESTHESIA: COMPARISON OF ISOBARIC ROPIVACAINE (5 MG/ML) WITH ISOBARIC BUPIVACAINE (5 MG/ML) D. Tzoneva, Vl. Miladinov, Al. Todorov, M. P. Atanasova,