Health Condition 1: C672- Malignant neoplasm of lateral wallof bladder Health Condition 2: N328- Other specified disorders of bladder
Conditions
Interventions
Intervention1: Prevention of adductor jerk/ spasm during the surgery.: In Urologic surgery the TURBT is done for non muscle invasive bladder tumour under subarachnoid block. However in resection of la
Sponsors
Safdarjung Hospital and Vardaman Mahavir Medical College New Delhi India
Eligibility
Inclusion criteria
Inclusion criteria: All patients of age group 18 and above years, of either gender fulfilling the criterion of American society of anaesthesiologist physical classification classes I-III scheduled for unilateral transurethral resection of lateral bladder wall tumour under spinal anaesthesia and requiring obturator nerve block.
Exclusion criteria
Exclusion criteria: Pre existing obturator nerve injury or adductor muscle weakness Local anaesthetic allergy. Coagulopathy. Inguinal lymphadenopathy. Infection or scar at the needle insertion site. •Neuromuscular disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the success rate of proximal versus distal approach of ultrasound guided obturator nerve block for prevention of adductor spasm in patients undergoing transurethral resection of lateral wall bladder tumour under spinal anaesthesia by the absence of adductor muscle jerk during the surgery.Timepoint: During surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare proximal versus distal approach of ultrasound guided obturator nerve block in patients undergoing transurethral resection of lateral wall bladder tumour under spinal anaesthesia with respect to- Adductor muscle power after the block Block performance time Number of needle passes Surgeon satisfaction Timepoint: During surgery | — |
Countries
India
Contacts
Public ContactDr Vinod Kumar
Vardaman Mahavir Medical College and Safdarjung Hospital
Outcome results
None listed