Bladder Neoplasm
Conditions
Keywords
obturator nerve block, ultrasound guided block, bladder tumor
Brief summary
This study aimed to assess the effectiveness of the ultrasound-guided interfascial injection approach with the subpectineal injection technique for obturator nerve block in bladder cancers undergoing transurethral resection of bladder tumor (TURBT) under spinal anesthesia.
Interventions
Interfascial Injection on Ultrasound-guided Obturator Nerve Block
Subpectineal Injection on Ultrasound-guided Obturator Nerve Block
Sponsors
Study design
Eligibility
Inclusion criteria
* Lateral wall bladder tumour * ASA I-II patients
Exclusion criteria
* Contraindications for spinal anesthesia, * Tumors that disrupt the integrity of the bladder, * Coagulation disorders, * Uncooperative patients, * Allergy to local anesthetics.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate of obturatr nerve block | Peroperative period | The success or fail of the obturator nerve block will be conformed using nerve stimulator. Detecting muscles twitch will br considered to be a fail. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of adductor muscle spazms | Intraoperative period | Number of adductor muscle spazms in each group will be noted during the intraoperative period. |
| Sensory block | 30 minutes after the intervention | Sensory block area will be evaluated by a pin prick at in the dermatomal areas related obturator nerve and branches. |
| Patient satisfaction | Peroperative period | Changes in overall satisfaction will be assessed using a 5 point Likert Scale ( 1-very dissatisfied, 2- dissatisfied, 3- neutral, 4-satisfied, 5 - very satisfied |
| Procedure time | During the procedure | Block performance time will be recorded from the time the first ultrasound image is obtained until the procedure is completed |
Countries
Turkey (Türkiye)