SENSORY AND MOTOR BLOCKADES IN OBESE PATIENTS UNDERGOING UROLOGICAL SURGERY IN THE LITHOTOMY POSITION LEVELS AND DURATION OF SPINAL ANESTHESIA
Keywords:
Key words: Spinal Anesthesia, Obesity, Lithotomy Position, Transurethral Prostate Resection (TUR-P), Hemodynamic Changes, Sensory Block Levels, Motor Block Levels.Abstract
Abstract: Obesity significantly influences the cephalic spread of a spinal block (SB) due to decreased cerebrospinal fluid (CSF) volume. SB distribution is also affected by tissue blood flow alongside CSF dynamics. Surgical positions and techniques can alter hemodynamics, prompting us to investigate these effects during transurethral prostate resection (TUR-P) and lithotomy position (LP) in obese versus non-obese individuals. Sixty patients undergoing TUR-P under spinal anesthesia were categorized into non-obese (BMI < 25 kg/m², Group N) and obese (BMI ≥ 30 kg/m², Group O) groups. SB levels were measured post-LP at 6 and 120 minutes, with peak SB levels compared between the groups. Hemodynamic parameters were also recorded after LP. Results indicated that peak and 6-minute SB levels were comparable across both groups, but 120-minute SB levels were significantly higher in Group O (P < 0.05). Blood pressure (BP) post-LP was notably higher in Group N (P < 0.05). LP and TUR-P procedures elevated BP in Group N more than in Group O. This hemodynamic increase likely enhances spinal cord blood flow, resulting in similar SB levels in non-obese patients as observed in obese patients. However, the duration of SB may be prolonged in obese patients.
References
Akramov, B., Matlubov, M., Nematulloev, T., & Shopulotova, Z. (2023). EFFECTIVENESS OF NEUROAXIAL BLOCKADES DURING ABDOMINAL DELIVERY IN PREGNANT WOMEN WITH СOMMUNITY-ACQUIRED PNEUMONIA AND MILD RESPIRATORY FAILURE. Science and innovation, 2(D12), 580-590.
G’oyibov, S. S., & Nematulloev, T. K. (2023). REVIEW OF NEURAXIAL TECHNIQUES IN ANAESTHESIA: RISKS, CAUSES, AND RECOMMENDATIONS FOR SPINAL CORD INJURIES. World scientific research journal, 20(1), 145-155.
Matlubov, M. M. (2022). OPTIMIZATION OF THE APPROACH TO ANESTHESIOLOGY IN COLOPROCTOLOGICAL SURGERY IN PATIENTS WITH CONCOMITANT HEART DISEASE. Journal of Integrated Education and Research, 1(5), 54-59.
Matlubov, M. M., Nematulloev, T. K., Khamdamova, E. G., Kim, O. V., & Khamraev, K. K. (2019). Optimization of the anesthetic approach in coloproctological operations in patients with concomitant cardiovascular disease. Dostizheniya nauki i obrazovaniya, 12, 53.
Matlubov, M. M., Xamdamova, E. G., & Nematulloev, T. K. (2022). ОПТИМИЗАЦИЯ АНЕСТЕЗИОЛОГИЧЕСКОГО ПОДХОДА ПРИ РЕЦИДИВНОЙ ВЕНТРАЛЬНОЙ ГРЫЖЕ У БОЛЬНЫХ С ОЖИРЕНИЕМ. Journal of Integrated Education and Research, 1(6), 45-51.
Matlubov, M., & Nematulloev, T. (2022). MAIN HEMODYNAMIC PATTERNS IN OVERWEIGHT PATIENTS DURING PROCTOLOGICAL SURGERY. Science and Innovation, 1(6), 263-270.
Matlubov, M., & Nematulloev, T. (2022). ПРОКТОЛОГИК ОПЕРАЦИЯЛАР ФОНИДА ОРТИҚЧА ВАЗНЛИ БЕМОРЛАРНИНГ ГЕМОДИНАМИКА КЎРСАТГИЧЛАРИ. Science and innovation, 1(D6), 263-270.
Muratovich, M. M., & Komiljonovich, N. T. (2022). COMPARATIVE EVALUATION OF THE HEMODYNAMIC EFFECTS OF SPINAL ANESTHESIA DEPENDING ON THE POSITION OF THE PATIENT AFTER THE ADMINISTRATION OF A HYPERBARIC SOLUTION OF BUPIVACAINE TO PATIENTS WITH ESSENTIAL HYPERTENSION. Вопросы науки и образования, (8 (164)), 63-71.
Murotovich, M. M., & Komiljonovich, N. T. (2022). ОСОБЕННОСТИ ФУНКЦИОНАЛЬНОГО СОСТОЯНИЯ ВНЕШНЕГО ДЫХАНИЯ У БЕРЕМЕННЫХ С РАЗЛИЧНОЙ СТЕПЕНЬЮ ОЖИРЕНИЯ. JOURNAL OF BIOMEDICINE AND PRACTICE, 7(5).
Murotovich, M. M., & Komilzhonovich, N. T. (2023). EVALUATION OF THE EXTERNAL RESPIRATORY FUNCTION IN PATIENTS WITH VARIOUS DEGREES OF OBESITY IN THE PRE-OPERATIVE PERIOD. JOURNAL OF BIOMEDICINE AND PRACTICE, 8(3).
Saydullayevich, G. S., & Komiljonovich, N. T. (2023). DETERMINANTS OF PERIOPERATIVE OUTCOMES IN COLORECTAL SURGERY: THE ROLE OF COMORBIDITY AND CONGESTIVE HEART FAILURE. Academia Science Repository, 4(04), 288-295.
Гойибов, С. С., & Нематуллоев, Т. К. (2023). ДЕТЕРМИНАНТЫ ПЕРИОПЕРАЦИОННЫХ ИСХОДОВ В КОЛОРЕКТАЛЬНОЙ ХИРУРГИИ: РОЛЬ КОМОРБИДНОСТИ И ЗАСТОЙНОЙ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТИ. ЖУРНАЛ ГЕПАТО-ГАСТРОЭНТЕРОЛОГИЧЕСКИХ ИССЛЕДОВАНИЙ, 4(2).
Матлубов, М. М., & Нематуллоев, Т. К. (2022). Гемодинамический статус у пациентов с избыточным весом при колопроктологических операциях. Кардиология в Беларуси, 14(2), 199-205.
Матлубов, М. М., & Нематуллоев, Т. К. (2022). СОСТОЯТЕЛЬНОСТЬ ГЕМОДИНАМИКИ У БЕРЕМЕННЫХ ЖЕНЩИН ПРИ ОЖИРЕНИЯХ. Достижения науки и образования, (6 (86)), 31-34.
Матлубов, М. М., Нематуллоев, Т. К., & Хамдамова, Э. Г. (2020). Сравнительная оценка гемодинамических эффектов спинальной анестезии в зависимости от положения больного после введения гипербарического раствора бупивакаина больным с гипертонической болезнью. In Высшая школа: научные исследования (pp. 100-107).
Матлубов, М. М., Нематуллоев, Т. К., & Хамдамова, Э. Г. (2021). КОРРЕКЦИЯ ГИПОТЕНЗИИ, ВЫЗВАННОЙ СПИНАЛЬНОЙ АНЕСТЕЗИЕЙ. Интернаука, 18(194 часть 1), 75.
Матлубов, М. М., Нематуллоев, Т. К., Хамдамова, Э. Г., Ким, О. В., & Хамраев, Х. Х. (2019). Оптимизация анестезиологического подхода при колопроктологических операциях у больных с сопутствующим сердечно-сосудистым заболеванием (обзор литературы). Достижения науки и образования, (12 (53)), 49-52.
Нематуллоев, Т. К., & Наимжанова, П. У. (2023). ДЕЙСТВИЕ СПИНАЛЬНОЙ И ЭПИДУРАЛЬНОЙ АНЕСТЕЗИИ НА ГЕМОДИНАМИКУ ПАЦИЕНТОВ С ПОВЫШЕННЫМ ИНДЕКСОМ МАССЫ ТЕЛА ПРИ КОЛОПРОКТОЛОГИЧЕСКИХ ОПЕРАЦИЯХ. In Научная сессия ПГМУ им. академика ЕА Вагнера (pp. 371-375).
Zayniddinovich, K. N., & Kuilievich, P. S. (2023). OPTIMIZATION OF ANESTHETIC SUPPORT DURING SIMULTANEOUS OPERATIONS ON THE ABDOMINAL AND PELVIC ORGANS. BARQARORLIK VA YETAKCHI TADQIQOTLAR ONLAYN ILMIY JURNALI, 3(1), 331-334.
Sharipov, I. L., Xolbekov, B. K., & Kurbonov, N. Z. (2023). BOLALAR OFTALMOLOJARROHLIGIDA ANESTEZIYANI TAKOMILLASHTIRISH. World scientific research journal, 20(1), 107-112.
Kurbanov, N. Z., & Sharipov, I. L. (2023). IMPROVEMENT OF ANESTHETIC PROTECTION IN SIMULTANEOUS OPERATIONS ON ABDOMINAL AND PELVIC ORGANS. World scientific research journal, 20(1), 113-116.
Zayniddinovich, K. N., & Latibovich, S. I. (2024). IMPROVING ANESTHETIC PROTECTION AND BLOOD PRESSURE CONTROL IN SIMULTANEOUS ABDOMINAL AND PELVIC OPERATIONS IN OBESE PATIENTS. JOURNAL OF APPLIED MEDICAL SCIENCES, 7(1), 97-101.
Sharipov, I. L., Qurbanov, N. Z., & Rakhmonov, S. (2023). IMPROVING AIRWAY PATENCY DURING OPERATIONS IN THE MAXILLOFACIAL REGION IN CHILDREN. Academia Repository, 4(12), 140-145.
Zayniddinovich, K. N., Qo’yliyevich, P. S., & Latibovich, S. I. (2023). INCREASING ANESTHESIOLOGICAL PROTECTION DURING SIMULTANEOUS OPERATIONS ON THE ABDOMINAL AND PELVIC REGION IN PATIENTS WITH OBESITY. Academia Repository, 4(11), 321-325.
Zayniddinovich, K. N., & Latibovich, S. I. (2024). ANESTHESIA OPTIMIZATION IN PEDIATRIC OPHTHALMIC SURGERY. IMRAS, 7(2), 44-48.
Zayniddin o’g’li, Q. N. (2024). HAMROH SEMIZLIGI BOR BEMORLAR QORIN BO’SHLIG’I A’ZOLARI SIMULTAN OPERATSIYALARDA ANESTEZIOLOGIK HIMOYANI TAKOMILLASHTIRISH USULLARI. Лучшие интеллектуальные исследования, 20(5), 3-6.
