Comparative study between continuous epidural anaesthesia and continuous Wiley Spinal® anaesthesia in elderly patients undergoing TURP

Autor: Reeham S. Ebied, Mohamed Z. Ali, Hanan F. Khafagy, Mohamed A. Maher, Yasser M. Samhan
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Egyptian Journal of Anaesthesia, Vol 32, Iss 4, Pp 527-533 (2016)
Druh dokumentu: article
ISSN: 1110-1849
DOI: 10.1016/j.egja.2016.08.013
Popis: Background: This study compared haemodynamics of continuous Wiley Spinal® anaesthesia with continuous epidural anaesthesia in elderly patients undergoing transurethral resection of prostate (TURP). Methods: After Institutional Review Board approval, thirty elderly male patients undergoing TURP classified as ASA physical status II or III were assigned into either the following: Continuous Epidural Anaesthesia group (Group CEA) receiving fentanyl 50 μg with plain bupivacaine 0.5% in 5 ml boluses or Wiley Spinal® Anaesthesia group (Group WSA) receiving fentanyl 5 μg with plain bupivacaine 0.5% given as 0.5 ml boluses until reaching sensory level of T10. Sensory and motor block onset and recovery, haemodynamics, time to first analgesia and adverse events were documented. Results: On reviewing WSA and CEA groups, onset of T10 sensory block [2 (1–8) vs. 5 (3–20) min], and motor block [9 (2–25) vs. 12 (5–40) min], with sensory recovery [161.7 ± 28.3 vs. 253.3 ± 52.7 min] and motor block duration [100.0 ± 27.4 vs. 130.7 ± 19.5 min] respectively (P
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