Prospective observational study on caudal epidural block for transurethral resection of prostate in patients with comorbidities

Authors

  • Bandana Paudel Nobel Medical College and Teaching Hospital, Kanchanbari, Biratnagar, Morang 56700
  • Sumitra Paudel Nobel Medical College and Teaching Hospital, Kanchanbari, Biratnagar, Morang 56700
  • Chitta Ranjan Das Nobel Medical College and Teaching Hospital, Kanchanbari, Biratnagar, Morang 56700

DOI:

https://doi.org/10.3126/jsan.v3i2.15617

Keywords:

Caudal anaesthesia, Comorbidities, elderly, Transurethral Resection of Prostate

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. 

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Author Biographies

Bandana Paudel, Nobel Medical College and Teaching Hospital, Kanchanbari, Biratnagar, Morang 56700

Lecturer, Department of Anesthesiology,Critical Care and Pain Management

Sumitra Paudel, Nobel Medical College and Teaching Hospital, Kanchanbari, Biratnagar, Morang 56700

Intern

Chitta Ranjan Das, Nobel Medical College and Teaching Hospital, Kanchanbari, Biratnagar, Morang 56700

Prof. and HOD,Department of Anesthesiology,Critical Care and Pain Management

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Published

2016-09-17

How to Cite

Paudel, B., Paudel, S., & Das, C. R. (2016). Prospective observational study on caudal epidural block for transurethral resection of prostate in patients with comorbidities. Journal of Society of Anesthesiologists of Nepal, 3(2), 74–79. https://doi.org/10.3126/jsan.v3i2.15617

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Section

Original Articles