Comparison of the effects of two intrathecal anaesthetic techniques for transurethral prostatectomy on haemodynamic and pulmonary function.

Hdl Handle:
http://hdl.handle.net/10147/208992
Title:
Comparison of the effects of two intrathecal anaesthetic techniques for transurethral prostatectomy on haemodynamic and pulmonary function.
Authors:
Walsh, K H; Murphy, C; Iohom, G; Cooney, C; McAdoo, J
Affiliation:
Cork University Hospital, Department of Anaesthesia, Wilton, Cork, Ireland., kenwalsh@ireland.com
Citation:
Eur J Anaesthesiol. 2003 Jul;20(7):560-4.
Journal:
European journal of anaesthesiology
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208992
PubMed ID:
12884990
Abstract:
BACKGROUND AND OBJECTIVE: Transurethral prostatectomy is routinely performed under spinal anaesthesia. This technique can cause hypotension, which is particularly undesirable in the elderly. The objective was to compare spinal anaesthesia for transurethral prostatectomy using hyperbaric bupivacaine 15 mg (control group) and hyperbaric bupivacaine 10 mg (limiting spread by maintaining the upright position for 15 min) and fentanyl 25 microg (fentanyl group) in terms of haemodynamic and pulmonary function. METHODS: Thirty ASA I-III patients were randomly selected and underwent spinal anaesthesia with either hyperbaric bupivacaine 15 mg (immediately positioned supine) or hyperbaric bupivacaine 10 mg (upright for 15 min) and fentanyl 25 microg. RESULTS: The greatest changes in mean arterial pressure (P = 0.9), ephedrine requirements (P = 0.8) and mean maximum change in forced vital capacity (P = 0.5) were similar in both groups. CONCLUSIONS: The addition of fentanyl 25 microg to bupivacaine 10 mg and limiting the spread of the block does not improve either haemodynamic or pulmonary function compared with bupivacaine 15 mg in patients undergoing transurethral prostatectomy.
Language:
eng
MeSH:
Adjuvants, Anesthesia/administration & dosage; Aged; Analgesics, Opioid/administration & dosage; Anesthesia, Spinal/adverse effects/*methods; Anesthetics, Local/administration & dosage; Blood Pressure; Bupivacaine/administration & dosage; Fentanyl/administration & dosage; Heart Rate; Humans; Hypotension/etiology; Injections, Spinal/methods; Male; Pain Measurement; Posture; Prospective Studies; *Transurethral Resection of Prostate; Vital Capacity
ISSN:
0265-0215 (Print); 0265-0215 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorWalsh, K Hen_GB
dc.contributor.authorMurphy, Cen_GB
dc.contributor.authorIohom, Gen_GB
dc.contributor.authorCooney, Cen_GB
dc.contributor.authorMcAdoo, Jen_GB
dc.date.accessioned2012-02-03T15:09:22Z-
dc.date.available2012-02-03T15:09:22Z-
dc.date.issued2012-02-03T15:09:22Z-
dc.identifier.citationEur J Anaesthesiol. 2003 Jul;20(7):560-4.en_GB
dc.identifier.issn0265-0215 (Print)en_GB
dc.identifier.issn0265-0215 (Linking)en_GB
dc.identifier.pmid12884990en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208992-
dc.description.abstractBACKGROUND AND OBJECTIVE: Transurethral prostatectomy is routinely performed under spinal anaesthesia. This technique can cause hypotension, which is particularly undesirable in the elderly. The objective was to compare spinal anaesthesia for transurethral prostatectomy using hyperbaric bupivacaine 15 mg (control group) and hyperbaric bupivacaine 10 mg (limiting spread by maintaining the upright position for 15 min) and fentanyl 25 microg (fentanyl group) in terms of haemodynamic and pulmonary function. METHODS: Thirty ASA I-III patients were randomly selected and underwent spinal anaesthesia with either hyperbaric bupivacaine 15 mg (immediately positioned supine) or hyperbaric bupivacaine 10 mg (upright for 15 min) and fentanyl 25 microg. RESULTS: The greatest changes in mean arterial pressure (P = 0.9), ephedrine requirements (P = 0.8) and mean maximum change in forced vital capacity (P = 0.5) were similar in both groups. CONCLUSIONS: The addition of fentanyl 25 microg to bupivacaine 10 mg and limiting the spread of the block does not improve either haemodynamic or pulmonary function compared with bupivacaine 15 mg in patients undergoing transurethral prostatectomy.en_GB
dc.language.isoengen_GB
dc.subject.meshAdjuvants, Anesthesia/administration & dosageen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAnalgesics, Opioid/administration & dosageen_GB
dc.subject.meshAnesthesia, Spinal/adverse effects/*methodsen_GB
dc.subject.meshAnesthetics, Local/administration & dosageen_GB
dc.subject.meshBlood Pressureen_GB
dc.subject.meshBupivacaine/administration & dosageen_GB
dc.subject.meshFentanyl/administration & dosageen_GB
dc.subject.meshHeart Rateen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypotension/etiologyen_GB
dc.subject.meshInjections, Spinal/methodsen_GB
dc.subject.meshMaleen_GB
dc.subject.meshPain Measurementen_GB
dc.subject.meshPostureen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.mesh*Transurethral Resection of Prostateen_GB
dc.subject.meshVital Capacityen_GB
dc.titleComparison of the effects of two intrathecal anaesthetic techniques for transurethral prostatectomy on haemodynamic and pulmonary function.en_GB
dc.contributor.departmentCork University Hospital, Department of Anaesthesia, Wilton, Cork, Ireland., kenwalsh@ireland.comen_GB
dc.identifier.journalEuropean journal of anaesthesiologyen_GB
dc.description.provinceMunster-

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