Abstract
Background: The most important goal of anaesthesia for geriatric patients with comorbid diseases is to maintain normal homoeostasis of different systems during and after surgery. This prospective study was conducted to evaluate the success rate and associated complications of the caudal epidural block for transurethral resection of prostate in elderly patients with comorbid diseases.Methods: This is a prospective study of a cohort of 100 elderly patients posted for transurethral resection of prostate with comorbid diseases belonging to American Society of anaesthesiologists physical status II, III and IV over a period of 1 year from April 2015 to April 2016. Standard recommended technique for caudal epidural block was followed. Time of onset, spread, duration of analgesia, intensity of block, complications, and unwanted effects were noted.Results: The mean age was 73.5+-7.69. Eighty-two percent patients belonged to ASA III and IV grade. The majority (87%) had excellent to a good quality of anaesthesia with no motor block. 83% of patients had the onset of analgesia between 5-15 minutes and 78% had a duration between 90-130 minutes. Three patients had patchy analgesia and they were considered as a failure. No death was encountered in the study.Conclusion: Caudal epidural block is a safe, effective anaesthetic technique for transurethral resection of the prostate in elderly with comorbid diseases of other systems.
Highlights
The most important goal of anaesthesia for geriatric patients with comorbid diseases is to maintain normal homoeostasis of different systems during and after surgery
After obtaining the clearance from the hospital ethical committee, a convenient sample of 100 patients with obstructing prostatic enlargement requiring Transurethral resection of prostate (TURP) along with some comorbid diseases of other systems and willing to participate in the study were recruited from the department of urosurgery and were included in the study
A 92-year male diabetic, hypertensive with multiple ventricular ectopics participated in the present study that had a transient cardiac arrest one year back after spinal anaesthesia for TURP in a neighbouring tertiary care hospital
Summary
This is a prospective study of a cohort of 100 elderly patients posted for transurethral resection of prostate with comorbid diseases belonging to American Society of anaesthesiologist’s physical status II, III and IV over a period of 1 year from April 2015 to April 2016. Spread, duration of analgesia, intensity of block, complications, and unwanted effects were noted. After obtaining the clearance from the hospital ethical committee, a convenient sample of 100 patients with obstructing prostatic enlargement requiring TURP along with some comorbid diseases of other systems and willing to participate in the study were recruited from the department of urosurgery and were included in the study. All the patients were on several drugs for their associated diseases, which were continued till the day of operation except metformin, and enalapril, which were stopped 24 hours before surgery. Coagulopathy, excessive fat deposition over the sacrum, the anatomical anomaly of the lumbosacral and sacral region and local infection were excluded from the study
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
