DOES A SPINAL BLOCK AT SACRAL LEVEL PROVIDE ADEQUATE ANESTHESIA FOR TRANSURETHRAL RESECTION OF THE PROSTATE CONDUCTED WITH CONTINUOUS IRRIGATION RESECTOSCOPE?

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dc.contributor.authorApiliogullari, Seza
dc.contributor.authorSakalli, Melike
dc.contributor.authorDuman, Ates
dc.contributor.authorBalasar, Mehmet
dc.contributor.authorOgun, Cemile Oztin
dc.date.accessioned2020-03-26T18:14:11Z
dc.date.available2020-03-26T18:14:11Z
dc.date.issued2011
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIntroduction: It has been previously reported that a spinal block at L1 level is adequate for transurethral resection of prostate (TURP) if low bladder pressure is provided. This study aims to compare adequacy and the characteristics of spinal anesthesia with low dose bupivacaine and bupivacaine + fentanyl combinations for TURP conducted with continuous irrigation resectoscope. Materials and Method: After Ethical Committee approval and informed consent, 50 patients were included with randomization. Spinal anesthesia was conducted in the sitting position with 5 mg of hyperbaric bupivacaine + 0.4 ml 0.9% NaCl in group B (n=25) and 5 mg of hyperbaric bupivacaine + 0.4 ml (20 mu g) fentanyl in group BF (n=25). Sensory block levels, motor block properties, quality of intraoperative anesthesia, surgical convenience and side effects were recorded. Results: The groups were similar regarding maximum block levels (L2), motor block and hemodynamic, properties. Sufficient analgesia was provided without additional analgesics in 46 of 50 patients with a sensory block higher than S1. Two groups were similar in terms of the quality of anesthesia, convenience for the surgeon and side effects. Conclusion: Bupivacaine (5mg) with or without fentanyl provides safe and adequate anesthesia, with a sensory block higher than S1, when continuous irrigation resectoscope is used for TURP.en_US
dc.identifier.endpage230en_US
dc.identifier.issn1304-2947en_US
dc.identifier.issn1307-9948en_US
dc.identifier.issue3en_US
dc.identifier.startpage225en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/26341
dc.identifier.volume14en_US
dc.identifier.wosWOS:000296697200009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherGUNES KITABEVI LTD STIen_US
dc.relation.ispartofTURKISH JOURNAL OF GERIATRICS-TURK GERIATRI DERGISIen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAgeden_US
dc.subjectAnesthesia, spinalen_US
dc.subjectTransurethral resection of prostateen_US
dc.titleDOES A SPINAL BLOCK AT SACRAL LEVEL PROVIDE ADEQUATE ANESTHESIA FOR TRANSURETHRAL RESECTION OF THE PROSTATE CONDUCTED WITH CONTINUOUS IRRIGATION RESECTOSCOPE?en_US
dc.typeArticleen_US

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