%0 Journal Article
%T Nivel sensitivo calculado vs. observado en anestesia peridural con bupivaca¨ªna. Estudio de concordancia
%A Delgado R
%A Martha B.
%A Howard C
%A Camilo
%A San¨ªn H
%A Alejandra
%A Garc¨ªa U
%A Adriana
%A Polo C
%A Rodolfo
%J Revista Colombiana de Anestesiolog¨ªa
%D 2006
%I Sociedad Colombiana de Anestesiolog¨ªa
%X objectives: this study was designed to evaluate the concordance between measured and estimated sensitive level after epidural anesthesia with bupivacaine 0.5% and to validate the equation routinarily used to calculate total dose volume. methods: prospective conformity concordance study. setting and participants: 77 patients, both gender, older than 17, scheduled for abdominal or lower limb surgery at san ignacio university hospital under epidural anesthesia with bupivacaine 0.5%. the total volume dose and the estimated sensitive level was calculated using the equation (7.8-(age x 0.03) x no. metameres) / 5, and 30 minutes after epidural dose administration the observed sensitive level was assessed. then estimated sensitive level and measured sensitive level were compared. results: the 95% agreement limits were calculated between measured sensitive level and estimated sensitive level. the mean difference was 2.23 levels and the limits were -2.39 and 6.84. 50% of patients had at least 2 levels upper than expected, and some people had 9 levels upper than estimated. conclusions: there is a poor agreement between expected vs. observed level using the equation to estimate bupivacaine 0.5% volume dose.
%K peridural
%K anesthesia
%K bupicaine
%K sensitive level.
%U http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-33472006000300002&lng=en&nrm=iso&tlng=en