Comparison of the effects of two intrathecal anaesthetic techniques for transurethral prostatectomy on haemodynamic and pulmonary function.
Affiliation
Cork University Hospital, Department of Anaesthesia, Wilton, Cork, Ireland., kenwalsh@ireland.comIssue Date
2012-02-03T15:09:22ZMeSH
Adjuvants, Anesthesia/administration & dosageAged
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
Metadata
Show full item recordCitation
Eur J Anaesthesiol. 2003 Jul;20(7):560-4.Journal
European journal of anaesthesiologyPubMed ID
12884990Abstract
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
engISSN
0265-0215 (Print)0265-0215 (Linking)
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