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Regional anesthesia in transurethral resection of prostate (TURP) surgery: A comparative study between saddle block and subarachnoid block.

Bhattacharyya S, Bisai S, Biswas H, Tiwary MK, Mallik S, Saha SM - Saudi J Anaesth (2015 Jul-Sep)

Bottom Line: Complications (volume overload, TURP syndrome etc.) were noted.Adequate surgical condition was achieved in both groups.There was no incidence of volume overload, TURP syndrome, and bladder perforation.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology, Burdwan Medical College and Hospital, Kolkata, West Bengal, India.

ABSTRACT

Background: Spinal anesthesia is the technique of choice in transurethral resection of prostate (TURP). The major complication of spinal technique is risk of hypotension. Saddle block paralyzed pelvic muscles and sacral nerve roots and hemodynamic derangement is less.

Aims and objectives: To compare the hemodynamic changes and adequate surgical condition between saddle block and subarachnoid block for TURP.

Material and methods: Ninety patients of aged between 50 to 70 years of ASA-PS I, II scheduled for TURP were randomly allocated into 2 groups of 45 in each group. Group A patients were received spinal (2 ml of hyperbaric bupivacaine) and Group B were received saddle block (2 ml of hyperbaric bupivacaine). Baseline systolic, diastolic and mean arterial pressure, heart rate, oxygen saturation were recorded and measured subsequently. The height of block was noted in both groups. Hypotension was corrected by administration of phenylephrine 50 mcg bolus and total requirement of vasopressor was noted. Complications (volume overload, TURP syndrome etc.) were noted.

Results: Incidence of hypotension and vasopressor requirement was less (P < 0.01) in Gr B patients. Adequate surgical condition was achieved in both groups. There was no incidence of volume overload, TURP syndrome, and bladder perforation.

Conclusion: TURP can be safely performed under saddle block without hypotension and less vasopressor requirement.

No MeSH data available.


Related in: MedlinePlus

Fall of heart rate in both the groups
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Figure 2: Fall of heart rate in both the groups

Mentions: The two groups were comparable regarding age, weight, height, duration of surgery [Table 1]. The baseline SBP, DBP, MAP, HR, SpO2 were comparable between the two groups [Table 2]. Baseline SBP, DBP, MAP, HR, SpO2 (Mean±SD): The fall of SBP, DBP, MAP was less in Group B (saddle) than Group A (spinal) which was statistically significant [Table 3 and Figures 1 and 2]. Fall of HR was more in Group A (11.84±5.85) than Group B (4.76±2.01) which was statistically significant (P<0.0001). Phenylephrine requirement was significantly less in (Group B) [Table 4 and Figure 3].


Regional anesthesia in transurethral resection of prostate (TURP) surgery: A comparative study between saddle block and subarachnoid block.

Bhattacharyya S, Bisai S, Biswas H, Tiwary MK, Mallik S, Saha SM - Saudi J Anaesth (2015 Jul-Sep)

Fall of heart rate in both the groups
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4478818&req=5

Figure 2: Fall of heart rate in both the groups
Mentions: The two groups were comparable regarding age, weight, height, duration of surgery [Table 1]. The baseline SBP, DBP, MAP, HR, SpO2 were comparable between the two groups [Table 2]. Baseline SBP, DBP, MAP, HR, SpO2 (Mean±SD): The fall of SBP, DBP, MAP was less in Group B (saddle) than Group A (spinal) which was statistically significant [Table 3 and Figures 1 and 2]. Fall of HR was more in Group A (11.84±5.85) than Group B (4.76±2.01) which was statistically significant (P<0.0001). Phenylephrine requirement was significantly less in (Group B) [Table 4 and Figure 3].

Bottom Line: Complications (volume overload, TURP syndrome etc.) were noted.Adequate surgical condition was achieved in both groups.There was no incidence of volume overload, TURP syndrome, and bladder perforation.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology, Burdwan Medical College and Hospital, Kolkata, West Bengal, India.

ABSTRACT

Background: Spinal anesthesia is the technique of choice in transurethral resection of prostate (TURP). The major complication of spinal technique is risk of hypotension. Saddle block paralyzed pelvic muscles and sacral nerve roots and hemodynamic derangement is less.

Aims and objectives: To compare the hemodynamic changes and adequate surgical condition between saddle block and subarachnoid block for TURP.

Material and methods: Ninety patients of aged between 50 to 70 years of ASA-PS I, II scheduled for TURP were randomly allocated into 2 groups of 45 in each group. Group A patients were received spinal (2 ml of hyperbaric bupivacaine) and Group B were received saddle block (2 ml of hyperbaric bupivacaine). Baseline systolic, diastolic and mean arterial pressure, heart rate, oxygen saturation were recorded and measured subsequently. The height of block was noted in both groups. Hypotension was corrected by administration of phenylephrine 50 mcg bolus and total requirement of vasopressor was noted. Complications (volume overload, TURP syndrome etc.) were noted.

Results: Incidence of hypotension and vasopressor requirement was less (P < 0.01) in Gr B patients. Adequate surgical condition was achieved in both groups. There was no incidence of volume overload, TURP syndrome, and bladder perforation.

Conclusion: TURP can be safely performed under saddle block without hypotension and less vasopressor requirement.

No MeSH data available.


Related in: MedlinePlus