The comparison of the efficiency of Saddle Block and Caudal Anesthesia in postoperative analgesic consumption and patient comfort using levobupivacaine in patients undergoing transurethral prostate resection (TURP).
Saddle Block is more Advantageous than Caudal Block in Patients Undergoing Transurethral Prostate Resection
Gaziantep University
50 participants
Mar 3, 2011
Interventional
Conditions
Summary
Objective: Caudal Anesthesia and Saddle Block are preferential methods in transurethral prostate resection (TURP). We aimed to compare the efficiency of Saddle Block and Caudal Anesthesia in postoperative analgesic consumption and patient comfort using levobupivacaine. Methods: Fifty ASA I-III patients were divided into two groups. Using 0.5% 10 mg levobupivacaine and 25 micrograms fentanyl, Saddle Block was performed by L4-5 interspace for Group S and using 14 ml 0.5% levobupivacaine and 25 micrograms fentanyl, Caudal Anesthesia was applied for Group C. Sensorial and motor block initial time, satisfaction of the patients, painless interval after operation and the total postoperative analgesic requirements for 24 hours were recorded. Results: The age, gender, body mass index, operation time and postoperative painless interval time were similar between the groups (p>0.05). The initial time of sensory block in Group S was statistically lower than in Group C (p=0.001). The comfort score in Group S was higher than in Group C (p=0.0001). The total amount of postoperative analgesic requirement for 24 hours in group S was found to be lower than in Group S (p=0.001). Motor block was developed in Group S and no motor block in Group C (p=0.0001). Hemodynamic parameters were similar in both groups (p>0.05). Conclusions: Using levobupivacaine and fentanyl, Saddle Block was found more advantageous than Caudal Block regarding patient comfort score, postoperative total analgesic requirement for 24 hours and initial time of sensorial block in patients undergoing TURP.
Eligibility
Inclusion Criteria1
- adult male patients who were planned to undergo a transurethral prostate resection (TURP) under regional anesthesia
Exclusion Criteria1
- Patients who rejected regional anesthesia, who had a neurological deficit, local or systemic infection, a past medical history of allergy to local anesthetics, coagulopathy, a high intracranial pressure, severe cardiac disease, who were on NSAID, acetylsalicylic acid, oral anticoagulants, heparin, LMWH, and inhibitors of thrombocyte aggregation, or who were hypovolemic and had an inadequate block after the application were excluded from the study.
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Interventions
Fifty adult male patients who were planned to undergo a transurethral prostate resection (TURP) under regional anesthesia due to benign prostate hypertrophy were included in the study with informed consent obtained from each patient. This is a prospective, randomized, and double-blind study including cases with Caudal Block (group C) or Saddle Block (GroupS) for TURP. Group S 5% 10 mg levobupivacaine and 25micrograms fentanyl were administered to the subarachnoid space by L4-5 interspace once only for the Saddle Block. The patient was held in the sitting position with the aid of an assistant for 5-7 minutes to allow the Saddle Block to develop.
Locations(1)
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ACTRN12613001115729