Health Condition 1: D303- Benign neoplasm of bladder Health Condition 2: D090- Carcinoma in situ of bladder Health Condition 3: C679- Malignant neoplasm of bladder, unspecified Health Condition 4: C672- Malignant neoplasm of lateral wallof bladder Health Condition 5: O- Medical and Surgical Health Condition 6: D494- Neoplasm of unspecified behavior of bladder
Conditions
Interventions
Intervention1: Regional Anesthesia with nerve stimulator guided Obturator Nerve Block: In patients with lateral wall bladder tumours planned for TURBT the anesthesia would be regional with Obturator n
Sponsors
Dept of Urology Dr Baba Saheb Ambedkar Hospital And Medical College
Eligibility
Inclusion criteria
Inclusion criteria: Patients with urinary bladder masses located on the lateral and/or posterolateral bladder wall (confirmed on preoperative CT scan) undergoing Monopolar TURBT fit for surgery
Exclusion criteria
Exclusion criteria: Those unfit for either GA or regional anesthesia (RA) Uncorrected coagulopathy Allergy to local anaesthetic Active infection at block site. Pregnancy Emergency procedures Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Presence of obturator jerk (yes/no) 2.Count of Obturator Jerk events 3. management by the team (use of short bursts, change of cautery settings, switching to GA+NMB, deepening the NMB) 4. Completeness of resection: at the end of TURBT by the surgeon (complete / incomplete / uncertain) 5. Presence of detrusor muscle in specimen From histopathology report (Y/N). 6. Bladder perforation (Y/N)Timepoint: Intra Operatively- Bladder perforation, Presence of obturator jerk, Count of obturator jerk, management by the team for jerks Completeness of resection by surgeon- immediately after the surgery Presence of muscle in specimen- 15 days post operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Anaesthesia Time: Time required to give Regional anaesthesia + ONB vs time required for GA + NMB till handover to operating surgeon, time for reversal of GA+NMB 2. Operative resection time: scope insertion to scope removal (minutes). 3. Change in haematocrit pre- & post-surgery 4. Complications of anesthesia (local site hematoma, inadvertent nerve injury, Intra vascular injury, postoperative local site pain, airway complications, pulmonary complications, post operative nausea vomiting & anaphylactic reactions, aspiration) 5. length of hospital stays (days) 6. Need for Re-interventions, if any, within 48hrsTimepoint: 1- From anesthesia start to handover to surgeon; reversal time at end of surgery. 2- During surgery 3- pre operative baseline & 6 hours post surgery 4- 24 hours 5- at time of discharge 6- 48 hours | — |
Countries
India
Contacts
Public ContactAbdul Qadir Boringwala
Dr Babasaheb Ambedkar Hospital and medical college
Outcome results
None listed