[A comparison of combined spinal-epidural anesthesia with epidural anesthesia for postoperative pain relief after transurethral resection of the prostate].
Masui
; 53(6): 634-7, 2004 Jun.
Article
em Ja
| MEDLINE
| ID: mdl-15242034
ABSTRACT
BACKGROUND:
We compared combined spinal-epidural anesthesia (S group) and epidural anesthesia (E group) in terms of pain control after transurethral resection of the prostate (TUR-P).METHODS:
All 32 patients received 0.2% ropivacaine at a rate of 2 ml x hr(-1) by a portable disposable pump postoperatively.RESULTS:
S group was superior to E group in urethral pain control within three hours after operation. E group was superior to S group in decrease of back pain over six hours after operation. Fifteen patients (47%) suffered from irritability or low back pain and needed rescue analgesics.CONCLUSIONS:
Our result indicates that 0.2% ropivacaine at a rate of 2 ml x hr(-1) is not satisfactory to relieve the postoperative pain. Long acting local anesthetics for spinal anesthesia are not suitable for TUR-P. Supplemental administration of opioid to epidural space or higher rate of continuous epidural infusor after operation might be better analgesic choice for TUR-P.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Uretra
/
Ressecção Transuretral da Próstata
/
Analgésicos Opioides
/
Anestesia Epidural
/
Raquianestesia
Limite:
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Masui
Ano de publicação:
2004
Tipo de documento:
Article