Abstract
Background and objectives: The aim of ourstudy was to compare the three differentregional anaesthesia methods in patients whounderwent transurethral resection of theprostate (TURP) and to determine the idealanaesthesia method for TURP operation.Methods: Totally 77 ASA II–III patientswere preloaded with 500 ml 0.9% NaCl solutionbefore regional anaesthesia. In group E (n:27)epidural anaesthesia were achieved by applying75 mg bupivacaine heavy + 50 µg fentanyl inthe L3–L4 intervertebral space. In group SP(n:28) 15 mg bupivacaine heavy + 50 µgfentanyl were used for spinal anaesthesia(L3–L4 intervertebral space) while in group SA(n:30) 10 mg bupivacaine heavy + 50 µgfentanyl were used with saddle blockade.Systolic arterial pressure (SAP), heart rate(HR), peripheral oxygen saturation (SpO2),serum sodium measurement was recorded beforeand after hydration and during operation. Themotor block and sensory level have beenmeasured.Results: Intraoperative SAP values were morestable than the other groups in group SA. Thedecrease in HR values were significant 15minutes after prehydration in three groups(p < 0.05). SpO2 values of the groups werestable during the operation. The time to reachthe maximum block was very short in patients inGroup SA (p < 0.0001). There was astatistically significant difference betweenthe groups in terms of motor block values(p < 0.0001). No fully paralysed sample wasseen in Group SA even though there was asufficient surgical anaesthesia.Conclusions: Saddle block has someadvantages compared to spinal and epiduralanaesthesia methods such as achieving adequateanaesthesia, stable haemodynami, the lowerdegree of motor blockage and no full blockagein patients. Saddle block is an the mostoptimal anaesthesia method for TURP operation.
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Özmen, S., Koşar, A., Soyupek, S. et al. The selection of the regional anaesthesia in the transurethral resection of the prostate (TURP) operation. Int Urol Nephrol 35, 507–512 (2003). https://doi.org/10.1023/B:UROL.0000025616.21293.6c
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DOI: https://doi.org/10.1023/B:UROL.0000025616.21293.6c