Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trial
Abstract Objective In this study, we aimed to compare the effects of two different local anesthetics with different baricity used in spinal anesthesia on thermoregulation. Materials and methods Our study was conducted on forty full-term pregnant women scheduled for elective cesarean sections under s...
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BMC
2025-05-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-025-03148-1 |
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| author | Azra Ozanbarcı Hatice Kılınç Bünyamin Muslu Safinaz Karabayırlı Seyfi Kartal Güler Eraslan Doğanay Melek Doğancı Abdullah Kahraman Oral Mentes Yasemin Dayıca |
| author_facet | Azra Ozanbarcı Hatice Kılınç Bünyamin Muslu Safinaz Karabayırlı Seyfi Kartal Güler Eraslan Doğanay Melek Doğancı Abdullah Kahraman Oral Mentes Yasemin Dayıca |
| author_sort | Azra Ozanbarcı |
| collection | DOAJ |
| description | Abstract Objective In this study, we aimed to compare the effects of two different local anesthetics with different baricity used in spinal anesthesia on thermoregulation. Materials and methods Our study was conducted on forty full-term pregnant women scheduled for elective cesarean sections under spinal anesthesia. At an operating room temperature of twenty-four degrees Celsius, peripheral body temperature was measured using temperature probes attached to the lower medial parts of the same side’s lower and upper extremities, and central body temperature was measured with a tympanic thermometer. Isobaric levobupivacaine and hyperbaric bupivacaine were used in spinal anesthesia applications. After spinal anesthesia, tympanic temperature, arm and leg temperatures, mean arterial pressure, heart rate, and oxygen saturation were measured and recorded at baseline, the first, third, and fifth minutes, and every five minutes thereafter until the end of surgery. Results In the bupivacaine group, a decrease in tympanic temperature was observed at the third minute and an increase in leg skin temperature at the fifth minute compared to baseline values. In the levobupivacaine group, a decrease in tympanic temperature was observed at the fifth minute, and an increase in leg skin temperature was observed at the third minute. In both groups, within-group comparisons showed a continued decrease in tympanic temperature and increase in leg temperature at all subsequent time points compared to baseline. No statistically significant difference was observed in arm skin temperatures within groups in either group. Conclusion We observed that the effects of hyperbaric bupivacaine and isobaric levobupivacaine used in spinal anesthesia on thermoregulation were similar. |
| format | Article |
| id | doaj-art-70fb4225d07341fe98b28a683cdc2a18 |
| institution | DOAJ |
| issn | 1471-2253 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | BMC Anesthesiology |
| spelling | doaj-art-70fb4225d07341fe98b28a683cdc2a182025-08-20T03:16:34ZengBMCBMC Anesthesiology1471-22532025-05-012511810.1186/s12871-025-03148-1Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trialAzra Ozanbarcı0Hatice Kılınç1Bünyamin Muslu2Safinaz Karabayırlı3Seyfi Kartal4Güler Eraslan Doğanay5Melek Doğancı6Abdullah Kahraman7Oral Mentes8Yasemin Dayıca9Health Sciences University, Gulhane Faculty of Medicine, Ankara Atatürk Sanatorium Training and Research Hospital, Anesthesiology and Reanimation ClinicAnkara Dr Sami Ulus Child Health and Diseases Training and Research HospitalAnkara Private Bilgi HospitalKocaeli Private Konak HospitalTrabzon Private 7M HospitalAnkara Ataturk Sanatorium Training and Research Hospital, Department of Anesthesiology and Reanimation, University of Health SciencesAnkara Ataturk Sanatorium Training and Research Hospital, Department of Anesthesiology and Reanimation, University of Health SciencesAnesthesiology and Reanimation Intensive Care Unit, Ministry of Health Ankara Etlik City HospitalGulhane Faculty of Medicine, Gulhane Training and Research Hospital, Intensive Care Unit, Health Sciences UniversityDepartment of Anesthesiology and Reanimation, Ministry of Health Ankara Etlik City HospitalAbstract Objective In this study, we aimed to compare the effects of two different local anesthetics with different baricity used in spinal anesthesia on thermoregulation. Materials and methods Our study was conducted on forty full-term pregnant women scheduled for elective cesarean sections under spinal anesthesia. At an operating room temperature of twenty-four degrees Celsius, peripheral body temperature was measured using temperature probes attached to the lower medial parts of the same side’s lower and upper extremities, and central body temperature was measured with a tympanic thermometer. Isobaric levobupivacaine and hyperbaric bupivacaine were used in spinal anesthesia applications. After spinal anesthesia, tympanic temperature, arm and leg temperatures, mean arterial pressure, heart rate, and oxygen saturation were measured and recorded at baseline, the first, third, and fifth minutes, and every five minutes thereafter until the end of surgery. Results In the bupivacaine group, a decrease in tympanic temperature was observed at the third minute and an increase in leg skin temperature at the fifth minute compared to baseline values. In the levobupivacaine group, a decrease in tympanic temperature was observed at the fifth minute, and an increase in leg skin temperature was observed at the third minute. In both groups, within-group comparisons showed a continued decrease in tympanic temperature and increase in leg temperature at all subsequent time points compared to baseline. No statistically significant difference was observed in arm skin temperatures within groups in either group. Conclusion We observed that the effects of hyperbaric bupivacaine and isobaric levobupivacaine used in spinal anesthesia on thermoregulation were similar.https://doi.org/10.1186/s12871-025-03148-1Spinal anesthesiaLocal anestheticsThermoregulationBaricity |
| spellingShingle | Azra Ozanbarcı Hatice Kılınç Bünyamin Muslu Safinaz Karabayırlı Seyfi Kartal Güler Eraslan Doğanay Melek Doğancı Abdullah Kahraman Oral Mentes Yasemin Dayıca Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trial BMC Anesthesiology Spinal anesthesia Local anesthetics Thermoregulation Baricity |
| title | Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trial |
| title_full | Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trial |
| title_fullStr | Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trial |
| title_full_unstemmed | Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trial |
| title_short | Comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change: a randomized controlled trial |
| title_sort | comparison of the effects of two different local anesthetics used in spinal anesthesia on peripheral and central temperature change a randomized controlled trial |
| topic | Spinal anesthesia Local anesthetics Thermoregulation Baricity |
| url | https://doi.org/10.1186/s12871-025-03148-1 |
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