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The use of epidural catheter for anaesthesia and relieving of postoperative pain in transvesical prostatectomy using bupivacaine
Joint Authors
al-Salman, Abd al-Razzaq
Shamkhi, Rafid
Source
Issue
Vol. 8, Issue 3 (30 Sep. 2011), pp.350-355, 6 p.
Publisher
University of Babylon College of Medicine
Publication Date
2011-09-30
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Topics
Abstract AR
تمت دراسة 28 مريض أجريت لهم عملية استئصال غدة البروستات (تضخم البروستات الحميد) حيث صنف المرضى إلى مجموعتين (A & Bِِِ) حيث تم إجراء العملية في المجموعة A تحت التخدير العام بينما في المجموعة B (18مريض) تم استخدام epidural catheter لغرض تخدير نصفي و لعلاج ألم ما بعد العملية باستخدام مادة bupivacaine.
أظهرت النتائج بأن الوقت المستغرق في صالة العمليات لكلا المجموعتين متساوي تقريبا و لكن لمرضى المجموعة A تحتاج إلى غرفة الإفاقة.
الوقت لعودة وظيفة الأمعاء للمجموعة B أقل منها للمجموعة A.
الحاجة إلى غسل المثانة لفترة أطول للمجموعة A عنها للمجموعة B.
الحاجة إلى إعطاء دم لمجموعة A أكثر منها لمجموعة B.
أظهرت النتائج فارق مهم في مستوى الألم بين المجموعتين حيث سجلت مستوى 1.56-/+7.65 للمجموعة A و 0.2-/+1.25 للمجموعة B.
Abstract EN
Objective : To determine the impact of preemptive epidural anaesthesia and analgesia on postoperative pain and other clinically important outcome variables after transvesical retropubic prostatectomy.
Patients and method : A total of 28 patients undergoing transvesical prostatectomy for the treatment of benign prostatic hypertrophy were randomized to either group A (10 patients underwent the surgery under general anaesthesia.
And the other 18 patients scheduled in whom an epidural catheter for anaesthesia and treating postoperative pain.
Epidural bupivacaine 0.5 %, was administered for induction of anesthesia and throughout the entire operation, followed by aggressive postoperative epidural analgesia for all patients in group B, pain scores obtained 48 hours,Pain recorded by using visual analogue scale VAS.Evaluation of our perioperative anaesthesiologic regimen, in terms of safety, patient comfort, the time in operating room and recovery room, average blood loss (depending on pcv & Hb %).
time to return of bowel function, duration for need to bladder wash.
Results: There were no significant differences between the groups with respect to age, height, weight, or operation time.
Regarding the operative time in the operating room revealed no differences in both groups (60--90 minutes including the time of induction of anaesthesia), but the time needed in recovery room for those patients with GA about 15-40 minutes.
The recovery time of bowel function in group B (8-12 hours) was less than that for group A (16-24 hours).The duration for irrigation of bladder wash in group A was 42--72 hours, while for those in group B was 24-42 hours.
The need for blood transfusion in 6 / 10 (60 %) in group A, and 4 / 18(22 %) in group B.
The postoperative pain score using VAS, The results revealed there is a significant difference of the pain score between group A (7.65 + / - 1.56), and 1.25 + / - 0.2 in group B Conclusions: The epidural catheter for anaesthesia and preemptive administration of epidural analgesics can lead to long-term decreases in postoperative pain and earlier resumption of normal activities.
American Psychological Association (APA)
al-Salman, Abd al-Razzaq& Shamkhi, Rafid. 2011. The use of epidural catheter for anaesthesia and relieving of postoperative pain in transvesical prostatectomy using bupivacaine. Medical Journal of Babylon،Vol. 8, no. 3, pp.350-355.
https://search.emarefa.net/detail/BIM-385577
Modern Language Association (MLA)
al-Salman, Abd al-Razzaq& Shamkhi, Rafid. The use of epidural catheter for anaesthesia and relieving of postoperative pain in transvesical prostatectomy using bupivacaine. Medical Journal of Babylon Vol. 8, no. 3 (2011), pp.350-355.
https://search.emarefa.net/detail/BIM-385577
American Medical Association (AMA)
al-Salman, Abd al-Razzaq& Shamkhi, Rafid. The use of epidural catheter for anaesthesia and relieving of postoperative pain in transvesical prostatectomy using bupivacaine. Medical Journal of Babylon. 2011. Vol. 8, no. 3, pp.350-355.
https://search.emarefa.net/detail/BIM-385577
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 354-355
Record ID
BIM-385577