scholarly journals Prospective observational study on caudal epidural block for transurethral resection of prostate in patients with comorbidities

2016 ◽  
Vol 3 (2) ◽  
pp. 74-79
Author(s):  
Bandana Paudel ◽  
Sumitra Paudel ◽  
Chitta Ranjan Das
Keyword(s):  
Elderly Patients ◽  
Prospective Study ◽  
Transurethral Resection ◽  
Epidural Block ◽  
Transurethral Resection Of Prostate ◽  
Caudal Epidural Block ◽  
Comorbid Diseases ◽  
American Society ◽  
A Prospective Study ◽  
Caudal Epidural

Background: The most important goal of anaesthesia for geriatric patients with comorbid diseases is to maintain normal homoeostasis of different systems during and after surgery. This prospective study was conducted to evaluate the success rate and associated complications of the caudal epidural block for transurethral resection of prostate in elderly patients with comorbid diseases.Methods: This is a prospective study of a cohort of 100 elderly patients posted for transurethral resection of prostate with comorbid diseases belonging to American Society of anaesthesiologists physical status II, III and IV over a period of 1 year from April 2015 to April 2016. Standard recommended technique for caudal epidural block was followed. Time of onset, spread, duration of analgesia, intensity of block, complications, and unwanted effects were noted.Results: The mean age was 73.5+-7.69. Eighty-two percent patients belonged to ASA III and IV grade. The majority (87%) had excellent to a good quality of anaesthesia with no motor block. 83% of patients had the onset of analgesia between 5-15 minutes and 78% had a duration between 90-130 minutes. Three patients had patchy analgesia and they were considered as a failure. No death was encountered in the study.Conclusion: Caudal epidural block is a safe, effective anaesthetic technique for transurethral resection of the prostate in elderly with comorbid diseases of other systems. 

scholarly journals Caudal Epidural Block for Ureteroscopic Lithotripsy (Ursl): A Prospective Study

2020 ◽  
Vol 5 (1) ◽  
pp. 942-945
Author(s):  
Rupak Bhattarai ◽  
Bandana Paudel ◽  
Sangeeta Subba ◽  
Chitta Ranjan Das
Keyword(s):  
College Teaching ◽  
Sensory Block ◽  
Epidural Block ◽  
Anesthetic Technique ◽  
Ureteroscopic Lithotripsy ◽  
Caudal Anesthesia ◽  
Duration Of Surgery ◽  
Caudal Epidural Block ◽  
A Prospective Study ◽  
Caudal Epidural

Introduction: Ureteroscopic lithotripsy (URSL) is the surgical treatment of choice for ureter stones. There are lots of anesthetic considerations for removal of such stones. Generally, ureteroscopic lithotripsy are done under general anesthesia and spinal anesthesia. Objectives: The purpose of this study is to assess whether ureteroscopic lithotripsy can be done under caudal anesthesia. Methodology: This prospective observational study was conducted in Nobel Medical college Teaching hospital, Nepal over a period of one and half year from May 2018 to October 2019. All the 100 patients posted for ureteroscopic lithotripsy was given caudal anesthesia. Location of stone, duration of surgery, time of onset of caudal anesthesia, time and level of maximum block spread, Intensity of block was assessed. Result: Out of 100 patients, 56 were male and 44 were female. The mean age and weight was 58±13.182 and 62±18.42 respectively. Time of onset of sensory block, 26 patients in 0- 5 minutes, 26 patients in 5-10 minutes, 56 patients in 10-15 minutes, 12 patients in 15-20 minutes, 4 patients in 20-25 minutes & 2 patients in more than 25 minutes. Maximum spread of block was seen at T6 level in 4 patients, at T8 level in 36 patients and at T10 level in 56 patients. Conclusion: Caudal epidural block is a safe, effective anesthetic technique for ureteroscopic lithotripsy.

scholarly journals Blood loss during and after transurethral resection of prostate: A prospective study

1970 ◽  
Vol 6 (3) ◽  
pp. 329-334 ◽  
Author(s):  
BM Shrestha ◽  
K Prasopshanti ◽  
SS Matanhelia ◽  
WB Peeling
Keyword(s):  
Blood Loss ◽  
Prospective Study ◽  
Transurethral Resection ◽  
Operating Time ◽  
Outlet Obstruction ◽  
Prostatic Tissue ◽  
Transurethral Resection Of Prostate ◽  
Total Blood ◽  
A Prospective Study ◽  
Type Of Anaesthesia

Objectives: Transurethral resection of prostate (TURP) is the gold standard treatment for symptomatic prostatic bladder outlet obstruction. Haemorrhage during and after TURP can lead to significant morbidity and mortality. The purpose of this study was to assess the influence of anaesthesia, operating time, weight of resected prostatic tissue and its histology on blood loss during and after TURP and to revisit the available body of evidence in the literature of urology. Materials and methods: This is a prospective study of a cohort of 100 consecutive patients who had undergone TURP over a period of one year, where the data was collected on a performa specifically designed for the study, which included the type of anaesthesia administered, resection time, amount of blood lost during and after TURP, weight of the resected prostatic tissue and histology. Results: Sixty seven patients underwent TURP under spinal anaesthesia (SA) and 33 under general anaesthesia (GA). The median intraoperative (SA: 89.95 (5-936); GA: 105.40 (5-517) mls), postoperative (SA: 72.37 (15-387); GA: 136.43 (11-969) mls) and total (SA: 162.32 (29-1200); GA: 241.83 (21-1251) mls) blood losses were not significantly different between the two groups (95% C.I. -9.90 to 19.22, p= 0.46). The total operating time (SA: 29.70 (10-55); GA: 29.80 (10-65) minutes) and weight of resected prostate (SA: 21.90 (3-45); GA: 18.00 (4-60) gms) were similar between the two groups. There was a trend towards increased blood loss when BPH was associated with prostatitis (N=8). Of these, 3 patients required blood transfusion as compared to 1 patient in rest of the group, although this was not statistically significant (95% C.I - 67.2 to 1120.4, p = 0.87). Conclusions: The intraoperative, postoperative and total blood losses related to TURP were not influenced by the type of anaesthesia, resection time, weight of the resected prostate and the histology. Key Words: Transurethral resection of prostate, blood loss, anaesthesia, prostatitis, carcinoma, aspirin doi: 10.3126/kumj.v6i3.1707 Kathmandu University Medical Journal (2008), Vol. 6, No. 3, Issue 23, 329-334

The Risk Factors of Delirium in Elderly Patients with Hip Fracture: A Prospective Study

2008 ◽  
Vol 20 (4) ◽  
pp. 293 ◽  
Author(s):  
Woo Suk Song ◽  
Jun Cheol Choi ◽  
Young Sang Lee ◽  
Hwa Yeop Na ◽  
Jun Won Choi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Prospective Study ◽  
A Prospective Study
Sign in / Sign up

Export Citation Format

Share Document