Abstract

İn the present study ıve compared transient neurological symptoms, and recovery characteristics of patients undergoing transurethral resection in lithotomy position with spinal anesthesia using bupivacaine or ropivacaine. Ninety ASA 1-3 patients were enrolled in to the study. Spinal anesthesia was performed with modified pencil-point needle in sitting position in ali patients. Group 1; received 3 mL of 0.5% hyperbaric bupivacaine 15 mg, group 2; 3 mL of 0.5% hyperbaric ropivacaine 15 mg and group 3; 3 mL of isobaric ropivacaine 15 mg. Hemodynamic parameters, level of sensorial and motor block were recorded. At 24, 48 and 72 hand one week later, patients were interviewed about pain in surgical area, lumbar pain and transient neurological symptoms. The regression time of sensorial block to L1 dermatome was longer in hyperbaric bupivacaine group. The complete resolution of motor was shortest in hyperbaric ropivacaine group and iongest in hyperbaric bupivacaine group. There was no dif-ference among the group regarding surgical and lumbar pain, and transient neurological symptom. One patient both in hyper-baric bupivacaine and hyperbaric ropivacaine group had transient neurological symptom. The lumbar pain was moderate in both patients and symptoms resoived completely in ten days. İn conclusion, similar sensorial and motor block levels were obtained with bupivacaine and ropivacaine. The duration of sensorial and motor block were shorter in both ropivacaine groups. The inci-dence of transient neurological symptoms were similar in three groups. Ropivacaine can be an alternative to bupivacaine in short duration surgical procedures with its similar effects and transient neurological symptoms incidence.