Turkish Journal of Geriatrics 2011 , Vol 14, Issue 3
DOES A SPINAL BLOCK AT SACRAL LEVEL PROVIDE ADEQUATE ANESTHESIA FOR TRANSURETHRAL RESECTION OF THE PROSTATE CONDUCTED WITH CONTÄ°NUOUS IRRIGATION RESECTOSCOPE?
Seza APİLİOĞULLARI1, Melike SAKALLI2, Ateş DUMAN3, Mehmet BALASAR4, Cemile Öztin ÖĞÜN3
1Selçuk Üniversitesi Selçuklu Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı KONYA
2Konya Numune Hastanesi Anesteziyoloji ve Reanimasyon KONYA
3Selçuk Üniversitesi Meram Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı KONYA
4BSK Konya Hastanesi Ãœroloji KliniÄŸi KONYA
Introduction: 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 (20μg) 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. Keywords : Aged; Anesthesia, spinal; Transurethral resection of prostate