RESUMEN
BACKGROUND The effect of body mass index (BMI) on the spread of spinal anesthesia is not completely clear. The aim of this study was to determine the dose requirements of ropivacaine and the incidence of hypotension in pregnant women with different BMIs during cesarean delivery. MATERIAL AND METHODS In this double-blind study, 405 women undergoing elective cesarean delivery were allocated to group S (BMI <25), group M (25 ≤BMI <30), or group L (BMI ≥30). Women in each group were further assigned to receive 7, 8, 9, 10, 11, 12, 13, 14, or 15 mg of spinal ropivacaine. RESULTS The ED50 and ED95 values of ropivacaine were 9.487 mg and 13.239 mg in Group S, 9.984 mg and 13.737 mg in Group M, and 9.067 mg and 12.819 mg in Group L. There were no significant differences among the 3 groups (p=0.915). Group L had a higher incidence of hypotension and a greater change in MAP after spinal anesthesia compared to the other 2 groups, and also required more doses of ephedrine than the other 2 groups when a dose of 15 mg ropivacaine was used. The incidence of hypotension had a positive correlation with the dose of ropivacaine (OR=1.453, p<0.001) and gestational age (OR=1.894, p<0.001). CONCLUSIONS Spinal ropivacaine dose requirements were similar in the normal BMI range. However, higher doses of spinal ropivacaine were associated with an increased incidence and severity of hypotension in obese patients compared with that in non-obese patients.
Asunto(s)
Anestesia Raquidea/métodos , Ropivacaína/administración & dosificación , Adulto , Anestésicos Locales/metabolismo , Índice de Masa Corporal , Cesárea/efectos adversos , China , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Femenino , Humanos , Hipotensión/etiología , Embarazo , Estudios Prospectivos , Ropivacaína/metabolismoRESUMEN
The genome sequence of Achromobacter sp. strain 77, a bacterium isolated from the hyphosphere of Fusarium oxysporum f. sp. cucumerinum, is reported here. Genome sequencing and assembly yielded one chromosome consisting of 5,868,070 bases, with a G+C content of 65.89%.
RESUMEN
The genome sequence of Rhizobium sp. strain 76, a bacterium isolated from the hyphosphere of Fusarium oxysporum f. sp. cucumerinum, is reported here. Genome sequencing and assembly yielded 5,375,961 bases with a 59.14% G+C content, comprising two chromosomes and one plasmid.