A comparison of combined spinal-epidural anesthesia with epidural anesthesia for postoperative pain relief after transurethral resection of the prostate
Echigoya, Y.; Henzan, N.; Funatsu, A.; Tsuruga, K.; Sanefuji, Y.; Kasai, H.
Masui. Japanese Journal of Anesthesiology 53(6): 634-637
2004
ISSN/ISBN: 0021-4892 PMID: 15242034 Document Number: 577776
Background : We compared combined spinal-epidural anesthesia (S group) and epidural anesthesia (E group) in terms of pain control after transurethral resection of the prostate (TUR-P). Methods : All 32 patients received 0.2% ropivacaine at a rate of 2ml . hr-1 by a portable disposable pump postoperatively. Results : S group was superior to E group in urethral pain control within three hours after operation. E group was superior to S group in decrease of back pain over six hours after operation. Fifteen patients (47%) suffered from irritability or low back pain and needed rescue analgesics. Conclusions: Our result indicates that 0.2% ropivacaine at a rate of 2ml . hr-1 is not satisfactory to relieve the postoperative pain. Long acting local anesthetics for spinal anesthesia are not suitable for TUR-P. Supplemental administration of opioid to epidural space or higher rate of continuous epidural infusor after operation might be better analgesic choice for TUR-P.