• Susmita Bhattacharyya, Subrata Bisai, Hirak Biswas, Mandeep Kumar Tiwary, Suchismita Mallik, and Swarna Mukul Saha.
• Department of Anaesthesiology, Burdwan Medical College and Hospital, Kolkata, West Bengal, India.
• Saudi J Anaesth. 2015 Jul 1; 9 (3): 268-71.

BackgroundSpinal anesthesia is the technique of choice in transurethral resection of prostate (TURP). The major complication of spinal technique is risk of hypotension. Saddle block paralyzed pelvic muscles and sacral nerve roots and hemodynamic derangement is less.Aims And ObjectivesTo compare the hemodynamic changes and adequate surgical condition between saddle block and subarachnoid block for TURP.Material And MethodsNinety patients of aged between 50 to 70 years of ASA-PS I, II scheduled for TURP were randomly allocated into 2 groups of 45 in each group. Group A patients were received spinal (2 ml of hyperbaric bupivacaine) and Group B were received saddle block (2 ml of hyperbaric bupivacaine). Baseline systolic, diastolic and mean arterial pressure, heart rate, oxygen saturation were recorded and measured subsequently. The height of block was noted in both groups. Hypotension was corrected by administration of phenylephrine 50 mcg bolus and total requirement of vasopressor was noted. Complications (volume overload, TURP syndrome etc.) were noted.ResultsIncidence of hypotension and vasopressor requirement was less (P < 0.01) in Gr B patients. Adequate surgical condition was achieved in both groups. There was no incidence of volume overload, TURP syndrome, and bladder perforation.ConclusionTURP can be safely performed under saddle block without hypotension and less vasopressor requirement.

2 keywords...

hide…