Record number :
2476294
Title of article :
Comparing the Duration of Spinal Anesthesia Induced With Bupivacaine and a Bupivacaince-Lidocaine Combination in Trans-Urethral Resection of the Prostate (TURP)
Author/Authors :
Chohedri, Abdolhamid Shiraz Anesthesiology and Critical Care Research Center - Namazi Hospital - Shiraz University of Medical Sciences , Raeesi Estabragh, Reza Shiraz Anesthesiology and Critical Care Research Center - Namazi Hospital - Shiraz University of Medical Sciences , Eghbal, Mohammad Hossein Shiraz Anesthesiology and Critical Care Research Center - Namazi Hospital - Shiraz University of Medical Sciences , Sahmeddini, Mohammad Ali Shiraz Anesthesiology and Critical Care Research Center - Namazi Hospital - Shiraz University of Medical Sciences , Hamidreza, Eftekharian Department of Oral and Maxillofacial Surgery - Shahid Rajaei Hospital - Shiraz University of Medical Sciences , Ramita, Shahabifar Student Research Committee - Namazi Hospital - Shiraz University of Medical Sciences
Pages :
5
From page :
1
To page :
5
Abstract :
Background: Spinal anesthesia is a safe anesthetic mode for transurethral prostate resection (TUPR). There are several studies assessing the effect of bupivacaine, lonely or accompanied by other drugs, on short duration operations. However, there is controversy regarding the exact combination. Objectives: The aim of the study was to compare the effects of spinal anesthesia with bupivacaine and low dose lidocaine with bupivacaine alone on postoperative pain in those undergoing transurethral resection of prostate (TURP). Materials and Methods: This was a randomized clinical trial performed in Shiraz university of medical sciences during one year. Eighty men scheduled for TURP were randomly assigned to receive spinal anesthesia with 1.5 mL bupivacaine 0.6% and 0.6 mL Lidocaine 1% or spinal anesthesia with 1.5 mL bupivacaine 0.5% in combination with 0.6 mL normal saline. The primary endpoint was the time lag between induction of spinal anesthesia and reaching the highest spinal block level. We also recorded the duration of spinal block declining to L1 level, operation duration and the admission duration. Results: Both study groups were comparable regarding the baseline characteristics. We did not find any difference between the two study groups regarding the duration of anesthetic block reaching the maximum level (P = 0.433) and duration of decreasing it to L1 (P = 0.189). The course of postoperative recovery and duration of hospital admission were also comparable between the groups (P = 0.661). Conclusions: Lidocaine does not have additive effects on duration and quality of spinal anesthesia with bupivacaine in those undergoing TURP.
Keywords :
Spinal Anesthesia , Bupivacaine , Lidocaine
Journal title :
Astroparticle Physics
Serial Year :
2015
Link To Document :
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