Urologii︠a︡ (Moscow, Russia : 1999)
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Randomized Controlled Trial
[Efficacy of spinal-epidural anesthesia in elderly urologic patients].
Comparative efficacy of spinal anesthesia (SA), epidural anesthesia (EA) and spinal-epidural anesthesia (SEA) during surgery was studied in 72 urologic patients aged from 66 to 92 years. By the method of anesthesia the patients were divided into three groups: SA was used in group 1 (n = 24), EA--in group 2 (n = 27), SEA--in group 3 (n = 20). ⋯ The results of the comparison of the anesthesia method showed that SEA combines advantages of EA and SA and is a useful technique for urologic geriatric surgery as it is characterized by a rapid onset, complete analgesia, absence of toxicity of local anesthetics, adequate muscle relaxation of the spinal block; catheterization of the epidural space extends the area of anesthesia, prolongs the time of anesthesia and provides continuous postoperative analgesia. No cases of postdural puncture headache were observed.