A Retrospective Analysis of Spinal Anaesthesia for TURBT Procedures in Elderly Patients

• Conditions: Spinal Anaesthesia; Transurethral Resection; Bladder Tumor

• Registration Number: NCT03221829
• Lead Sponsor: Medical University of Warsaw

Brief Summary

The aim of the study was to evaluate the safety and effectiveness of spinal anesthesia among elderly patients The basic methods for diagnosis and management of bladder cancer include endoscopic procedures (cystoscopy, trans-urethral resection of bladder tumour TURBT). The age of most patients is above 60, which increases the risk of complications during the perioperative period. Usually the leading anaesthesia method in TURBT procedures is regional, mainly spinal, anaesthesia. Although the prevalence of regional upon general anaesthesia is questioned, certain positive aspects of regional anaesthesia are indisputable. Maintaining logical communication with a patient during the procedure enables early diagnosis of complications (TUR syndrome, bladder perforation). Undeniably, regional anaesthesia ensures the best pain management in the early post-operative period. The simplicity of performing an efficacious spinal block and its cost-effectiveness are additional factors, which have contributed to the acknowledgement of the method as the standard of anaesthesia for transurethral procedures.

Detailed Description

Not available

Study Timeline

• Status Verified: 2017-07
• Study Start: 2017-07-06
• Study First Submitted: 2017-07-13
• Study First Submitted QC: 2017-07-14
• Last Update Submitted: 2017-07-14
• Study First Posted: 2017-07-19
• Last Update Posted: 2017-07-19
• Primary Completion: 2017-12-31
• Study Completion: 2017-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 2800

Inclusion Criteria

• TURBT procedure
• spinal anaesthesia
• age over 60

Exclusion Criteria

• general anaesthesia

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The effectiveness of spinal anaesthesia for TURBT evaluated by a number of participants that had the procedure done, without the need of conversion to general anaesthesia .	6 months	The investigator evaluates whether the procedure could be completely performed under spinal anesthesia

Secondary Outcome Measures

Name	Time	Method
The influence of the bupivacaine spinal dose on bradycardia evaluated by a heart rate measurements	6 months	The investigator evaluates the bupivacaine doses, heart rate and the need to give atropine
The influence of the bupivacaine dose on hypotension evaluated by the non-invasive blood pressure measurements	6 months	The investigator evaluates the bupivacaine doses, blood pressure and the need to give ephedrine
Experienced and non-experienced anesthetist does it influence the spinal anaesthesia success	6 months	The investigator evaluates the success rate of spinal anaesthesia given by specialist, young and advanced trainee.
Experienced and non-experienced anesthetist does it influence the bupivacaine dose	6 months	The investigator evaluates the doses of bupivacaine spinal given by specialist, young and advanced trainee.

Trial Locations

Locations (1)

I Department of Anaesthesiology and Intensive Care, Medical University of Warsaw; 🇵🇱 Warsaw, Poland