Adequate Anesthesia With Unimpaired Motor Strength
Conditions
Brief summary
Adequate sensory block for surgical procedure without side effects and immediate mobilization after surgery are desirable anesthetic technique in various surgeries. Considering the sensory innervations to the prostate, a sensory block up to L1 - T12 is adequate to the TURP. Low-dose intrathecal local anesthetics may meet these criteria, but occasional lack of sufficient sensory block could be troublesome. In this randomized study, the investigators evaluated the spinal anesthetic characteristics following intrathecal administration of bupivacaine 1 mg with fentanyl or sufentanil in elderly patients undergoing TURP.
Interventions
1mg 0.5% bupivacaine + fentanyl 20 mcg + 1.8 ml glucose ( total 2.4-ml) VS 1mg 0.5% bupivacaine + sufentanil 5 mcg + 2.1ml glucose (total 2.4-ml) intrathecally.
1mg 0.5% bupivacaine + fentanyl 20 mcg + 1.8 ml glucose ( total 2.4-ml) VS 1mg 0.5% bupivacaine + sufentanil 5 mcg + 2.1ml glucose (total 2.4-ml) intrathecally.
Sponsors
Study design
Eligibility
Inclusion criteria
* age over 65 \ under 85yrears old * male * elderly patients undergoing TURP * only spinal anesthesia * patients consent about this study
Exclusion criteria
* spine surgery History * coagulopathy * impaired communication * impaired orientation * DM complication neuropathy * BMI \> 30 -\> overweight patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time to achieve peak sensory block without unimpaired motor strength | 2 minites after injection intrathecally start | peak sensory & sympathetic block level, time to peak sensory & sympathetic block level, motor block level at peak sensory & sympathetic block level, lowest BP and HR during spinal anestheisa, frequency of painkiller |
Countries
South Korea