A Retrospective Analysis of Spinal Anaesthesia for TURBT Procedures in Elderly Patients

A Retrospective Analysis of Spinal Anaesthesia for Transurethral Resection of Bladder Tumour in Elderly Patients: A Single Centre Experience From 2007 to 2017

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03221829

Enrollment

2800

Registered

2017-07-19

Start date

2017-07-06

Completion date

2017-12-31

Last updated

2017-07-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bladder Tumor, Spinal Anaesthesia, Transurethral Resection

Keywords

spinal anaesthesia, elderly patients, transurethral resection of bladder tumour

Brief summary

The aim of the study was to evaluate the safety and effectiveness of spinal anesthesia among elderly patients The basic methods for diagnosis and management of bladder cancer include endoscopic procedures (cystoscopy, trans-urethral resection of bladder tumour TURBT). The age of most patients is above 60, which increases the risk of complications during the perioperative period. Usually the leading anaesthesia method in TURBT procedures is regional, mainly spinal, anaesthesia. Although the prevalence of regional upon general anaesthesia is questioned, certain positive aspects of regional anaesthesia are indisputable. Maintaining logical communication with a patient during the procedure enables early diagnosis of complications (TUR syndrome, bladder perforation). Undeniably, regional anaesthesia ensures the best pain management in the early post-operative period. The simplicity of performing an efficacious spinal block and its cost-effectiveness are additional factors, which have contributed to the acknowledgement of the method as the standard of anaesthesia for transurethral procedures.

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

60 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* TURBT procedure * spinal anaesthesia * age over 60

Exclusion criteria

* general anaesthesia

Design outcomes

Primary

Measure	Time frame	Description
The effectiveness of spinal anaesthesia for TURBT evaluated by a number of participants that had the procedure done, without the need of conversion to general anaesthesia .	6 months	The investigator evaluates whether the procedure could be completely performed under spinal anesthesia

Secondary

Measure	Time frame	Description
The influence of the bupivacaine spinal dose on bradycardia evaluated by a heart rate measurements	6 months	The investigator evaluates the bupivacaine doses, heart rate and the need to give atropine
The influence of the bupivacaine dose on hypotension evaluated by the non-invasive blood pressure measurements	6 months	The investigator evaluates the bupivacaine doses, blood pressure and the need to give ephedrine
Experienced and non-experienced anesthetist does it influence the bupivacaine dose	6 months	The investigator evaluates the doses of bupivacaine spinal given by specialist, young and advanced trainee.
Experienced and non-experienced anesthetist does it influence the spinal anaesthesia success	6 months	The investigator evaluates the success rate of spinal anaesthesia given by specialist, young and advanced trainee.

Countries

Poland

Contacts

Primary ContactKarolina Dobronska, MD, PhD

karolinadobronska@gmail.com48 501 323 534

Backup ContactLidia I Jureczko, MD, PhD

jureczko@gmail.com48 501 054 419

Outcome results