Comparison of the articain and bupivacain in epidural anesthesia

Abstract

Epidural anesthesia is an ideal alternative to general anesthesia in surgery of the abdomen, perineal and lower extremity. A limited number of anesthetics are avaible for this type of procedure. In this study we aimed to compare the articaine with bupivacaine in respect of epidural anaesthesia. We administred long acting local anesthetics, articaine and bupivacaine for providing epidural anesthesia from L3-4 and L4-5 epidural space to forty patients ASA I-II at lateral position. They were divided into two groups. Each group implied twenty patients. Articaine %2, 5 mg/kg in 20 cc volume for group 1 (Articaine Group), bupivacaine %0.5, 1 mg/kg in 20 cc volume for group 2 (Bupivacaine Group) were used. Demographic characteristics, motor block onset time (MBOT), sensorial block onset time (SBOT), motor block duration time (MBDT), sensorial block duration time (SBDT), mean arterial blood pressure, heart rate and the complications were compared between two groups. MBOT and SBOT were less in Articaine Group than Bupivacaine Group. MBDT and SBDT were less in Articaine Group than Bupivacaine Group but they were not statistically significant. There were no differences between mean arterial blood pressure, heart rate and complications in two groups. In conclusion; articaine having a shorter onset time, may be preferred for epidural anesthesia in state of emergency because its' onset time is shorter than bupivacaine.