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ISSN 1684-1824 (Electronic)

2017, Number 3

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Rev Méd Electrón 2017; 39 (3)

Subarachnoid anesthesia with variable doses of bupivacaine with fentanyl in the trans-urethral resection of the prostate

Bofill GP, Valenzuela LK, Carballea Y, Ramos DY, Bofill VJ

Language: Spanish
References: 19
Page: 495-506
PDF size: 118.64 Kb.


ABSTRACT

Introduction: currently, several models of spinal anesthesia with bupivacaine in different doses, associated or not to fentanyl, have been described providing a safe and efficacious anesthesia, reducing the intensity of the postsurgical pain, preserving the cognitive function, and reducing the complications attributed to hyperbaric lidocaine due to its neurotoxicity.
Aim: to assess the effect of low doses of bupivacaine with fentanyl as subarachnoid anesthesia in patients undergoing a prostate trans-urethral resection.
Materials and Methods: a prospective, longitudinal, quantitative, descriptive study was carried out in 200 patients programmed for that kind of surgery and with the indication of subarachnoid anesthesia through bupivacaine; they were randomly distributed in four groups.
Outcomes: both, the sensory block and the motor one were faster in the patients of the Group B (3,0; 11,2) and (7,1; 8,3), Group C (5,0; 9,4) and (6,2; 9,4) and Group D (6,1; 8,3) and (4,7; 10,9); while in the patients of the Group A they were (6,0; 8,5) y (9,9; 11,7) respectively. It was observed a good quality anesthesia in all the patients of the Groups C and D.
Conclusions: the intrathecal administration of 7,5 mg of bupivacaine with 25 μg of fentanyl produced a satisfactory anesthesia, reduced the latency period, kept a better hemodynamic stability up, extended the post-surgery analgesia and was associated to fewer incidences of perioperative complications.


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