Intrathecal anesthesia for elderly patients undergoing short transurethral procedures: A dose-finding study

Edna Zohar, Yossi Noga, Uri Rislick, Ilan Leibovitch, Brian Fredman*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

One hundred elderly men (≥65 yr) undergoing transurethral procedures (<45 min) received bupivacaine 7.5 mg, or bupivacaine 5 mg + fentanyl 20 μg, or bupivacaine 4 mg + fentanyl 20 μg, or bupivacaine 3 mg + fentanyl 20 μg, intrathecally. Intraoperative "rescue" fentanyl requirements were higher (P < 0.03) in group bupivacaine 3 mg + fentanyl. Times (min) to ambulation eligibility were decreased in a dose-dependant manner (157 ± 50 vs 147 ± 37 vs 128 ± 40 vs 116 ± 29, respectively). Of the techniques studied, intrathecal bupivacaine 4 mg + fentanyl 20 μg provided adequate analgesia and was associated with hemodynamic stability and a favorable recovery profile.

Original languageEnglish
Pages (from-to)552-554
Number of pages3
JournalAnesthesia and Analgesia
Volume104
Issue number3
DOIs
StatePublished - Mar 2007
Externally publishedYes

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