Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections

Purpose: Transurethral resections (TUR) are commonly performed for elderly population who have multiple comorbidities which can cause intraoperative and postoperative complications. The type of anesthesia has an impact on patient outcome. The aim of the study is to compare the effectiveness of epidu...

ver descrição completa

Na minha lista:
Detalhes bibliográficos
Principais autores: Copuroglu, Elif, Sagiroglu, Gonul, Bilgili, Beliz, Hekimogl, Sevtap
Formato: Online
Idioma:eng
Publicado em: FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
Endereço do item:https://periodicos.ufrn.br/jscr/article/view/15729
Tags: Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
id oai:periodicos.ufrn.br:article-15729
record_format ojs
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language eng
format Online
author Copuroglu, Elif
Sagiroglu, Gonul
Bilgili, Beliz
Hekimogl, Sevtap
spellingShingle Copuroglu, Elif
Sagiroglu, Gonul
Bilgili, Beliz
Hekimogl, Sevtap
Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections
author_facet Copuroglu, Elif
Sagiroglu, Gonul
Bilgili, Beliz
Hekimogl, Sevtap
author_sort Copuroglu, Elif
title Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections
title_short Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections
title_full Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections
title_fullStr Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections
title_full_unstemmed Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections
title_sort comparison of epidural and spinal anesthesia techniques for transurethral resections: ideal anesthesia technique for transurethral resections
description Purpose: Transurethral resections (TUR) are commonly performed for elderly population who have multiple comorbidities which can cause intraoperative and postoperative complications. The type of anesthesia has an impact on patient outcome. The aim of the study is to compare the effectiveness of epidural and spinal anesthesia techniques for TUR. Methods: A total of 158 elective TUR cases were evaluated. The patients were randomized into 2 groups: Epidural anesthesia was applied to Group I (n=82) and spinal anesthesia was applied to Group II (n=76). Both groups were compared for intraoperative hemodynamic parameters (mean arterial pressure, heart rate, peripheral oxygen saturations), total duration of hospital stay, perioperative complications, and satisfaction of the patients and surgeons. Results: The patients in the spinal anesthesia group experienced more frequent intraoperative hypotensive episodes during TUR (n=2 vs. n=10; p=0.026) and had lower mean arterial pressure values for the first 30 minutes of anesthesia compared to epidural anesthesia group. The postoperative duration of bed stay was longer in the spinal anesthesia group (402.96±49.61 min) than the epidural anesthesia group (205.91±28.27 min) (p<0.001). The patient satisfaction score was significantly higher in the epidural anesthesia group (2.54±0.63) than the spinal anesthesia group (2.23±1.22) (p=0.04) where as the surgeon satisfaction score were similar in both groups. Conclusion: Epidural anesthesia can be considered as an effective and safe technique for ambulatory interventions especially for elderly patients providing perioperative hemodynamic stability and postoperative early mobilization.
publisher FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
publishDate 2018
url https://periodicos.ufrn.br/jscr/article/view/15729
work_keys_str_mv AT copurogluelif comparisonofepiduralandspinalanesthesiatechniquesfortransurethralresectionsidealanesthesiatechniquefortransurethralresections
AT sagiroglugonul comparisonofepiduralandspinalanesthesiatechniquesfortransurethralresectionsidealanesthesiatechniquefortransurethralresections
AT bilgilibeliz comparisonofepiduralandspinalanesthesiatechniquesfortransurethralresectionsidealanesthesiatechniquefortransurethralresections
AT hekimoglsevtap comparisonofepiduralandspinalanesthesiatechniquesfortransurethralresectionsidealanesthesiatechniquefortransurethralresections
_version_ 1766682129282891776
spelling oai:periodicos.ufrn.br:article-157292018-10-11T16:38:15Z Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections: Ideal anesthesia technique for transurethral resections Copuroglu, Elif Sagiroglu, Gonul Bilgili, Beliz Hekimogl, Sevtap Purpose: Transurethral resections (TUR) are commonly performed for elderly population who have multiple comorbidities which can cause intraoperative and postoperative complications. The type of anesthesia has an impact on patient outcome. The aim of the study is to compare the effectiveness of epidural and spinal anesthesia techniques for TUR. Methods: A total of 158 elective TUR cases were evaluated. The patients were randomized into 2 groups: Epidural anesthesia was applied to Group I (n=82) and spinal anesthesia was applied to Group II (n=76). Both groups were compared for intraoperative hemodynamic parameters (mean arterial pressure, heart rate, peripheral oxygen saturations), total duration of hospital stay, perioperative complications, and satisfaction of the patients and surgeons. Results: The patients in the spinal anesthesia group experienced more frequent intraoperative hypotensive episodes during TUR (n=2 vs. n=10; p=0.026) and had lower mean arterial pressure values for the first 30 minutes of anesthesia compared to epidural anesthesia group. The postoperative duration of bed stay was longer in the spinal anesthesia group (402.96±49.61 min) than the epidural anesthesia group (205.91±28.27 min) (p<0.001). The patient satisfaction score was significantly higher in the epidural anesthesia group (2.54±0.63) than the spinal anesthesia group (2.23±1.22) (p=0.04) where as the surgeon satisfaction score were similar in both groups. Conclusion: Epidural anesthesia can be considered as an effective and safe technique for ambulatory interventions especially for elderly patients providing perioperative hemodynamic stability and postoperative early mobilization. Objetivo: As ressecções transuretais (RTU) são comumente realizadas em idosos com múltiplas comorbidades que podem causar complicações intra e pós-operatórias. O tipo de anestesia tem impacto no resultado do paciente. O objetivo do estudo é comparar a eficácia das técnicas de anestesia peridural e raquidiana para a RTU. Métodos: Um total de 158 casos de RTT eletivos foi avaliado. Os pacientes foram randomizados em dois grupos: anestesia peridural foi aplicada ao grupo I (n = 82) e raquianestesia no grupo II (n = 76). Ambos os grupos foram comparados quanto aos parâmetros hemodinâmicos intraoperatórios (pressão arterial média, frequência cardíaca, saturação periférica de oxigênio), tempo total de internação, complicações perioperatórias e satisfação dos pacientes e cirurgiões. Resultados: Os pacientes do grupo raquianestesia apresentaram episódios hipotensivos intraoperatórios mais frequentes durante a RTU (n = 2 vs. n = 10; p = 0,026) e tiveram valores de pressão arterial média menores nos primeiros 30 minutos de anestesia em comparação ao grupo de anestesia peridural. O tempo de permanência no leito pós-operatório foi maior no grupo raquianestesia (402,96 ± 49,61 min) do que no grupo com anestesia peridural (205,91 ± 28,27 min) (p <0,001). O escore de satisfação do paciente foi significativamente maior no grupo de anestesia peridural (2,54 ± 0,63) do que no grupo de raquianestesia (2,23 ± 1,22) (p = 0,04), enquanto que, o grau de satisfação do cirurgião foi semelhante em ambos os grupos. Conclusão: A anestesia peridural pode ser considerada uma técnica eficaz e segura para intervenções ambulatoriais, especialmente em pacientes idosos, proporcionando estabilidade hemodinâmica perioperatória e mobilização precoce pós-operatória. FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL 2018-10-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/jscr/article/view/15729 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; Vol. 9 No. 1 (2018); 1-10 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; v. 9 n. 1 (2018); 1-10 2179-7889 eng https://periodicos.ufrn.br/jscr/article/view/15729/10701 Copyright (c) 2018 JOURNAL OF SURGICAL AND CLINICAL RESEARCH

Registros relacionados