Abstract
Background and objectives: Cervical cancer occupies the third place among women. In advanced cases the treatment of choice is brachytherapy and pain is among the most frequent complaints of treatment. The objective of the study was to compare the incidence of pelvic pain and satisfaction among groups of patients submitted to brachytherapy with and without anesthesia. METHODS: Prospective, longitudinal study at a SUS hospital with 30 patients undergoing brachytherapy between the ages of 18 and 60 divided into three groups: GN (without anesthesia), GR5 (spinal anesthesia with 5 mg of hyperbaric bupivacaine 0.5%) and GR10 (spinal anesthesia with 10 mg of 0.5% hyperbaric bupivacaine). Pain was evaluated immediately after brachytherapy (T1), 30 minutes (T2) and before discharge from the post-anesthetic recovery room (T3), through visual analogue scale and satisfaction with the technique. Effects of both doses administered. RESULTS: In the GN 70%, 50% and 10% felt pain, respectively, in T1, T2 and T3; in GR5 no patient presented pain in the 3 times studied; in GR10, only one patient had pain in T1. Regarding satisfaction, in GN 20% was poor, 60% satisfactory and 20% good; in GR5 100% was good; in GR10, 60% was satisfactory, 40% good. CONCLUSION: Spinal anesthesia with low doses of hyperbaric bupivacaine is safe and necessary in BTCC. In conclusion, after this small study, spinal anesthesia became routine in this procedure and possibly to be implanted in all Brazilian Health System (SUS) units.
Highlights
Cervical cancer is the third most frequent tumor in the female population, behind breast and colorectal cancer, and the fourth leading cause of cancer death in Brazil [1]
We studied 30 patients for brachytherapy for carcinoma of the cervix (BTCC), and none were excluded from the study
This study showed that spinal anesthesia for BTCC provided better pain control at all times studied with better patient satisfaction compared to patients who did not receive anesthesia
Summary
Cervical cancer is the third most frequent tumor in the female population, behind breast and colorectal cancer, and the fourth leading cause of cancer death in Brazil [1]. Pain was evaluated immediately after brachytherapy (T1), 30 minutes (T2) and before discharge from the post-anesthetic recovery room (T3), through visual analogue scale and satisfaction with the technique. CONCLUSION: Spinal anesthesia with low doses of hyperbaric bupivacaine is safe and necessary in BTCC. After this small study, spinal anesthesia became routine in this procedure and possibly to be implanted in all Brazilian Health System (SUS) units
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