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The Effective Concentration of Lidocaine With Fentanyl in Lumbar Epidural Anesthesia for Transurethral Resection of Prostate(TURP) in Elderly Patients

Not Applicable
Completed
Conditions
BPH( Benign Prostate Hyperplasia)
TURP(Transurethral Resection of Prostate)
Interventions
Drug: epidural block with lidocaine and fentanyl
Registration Number
NCT01892332
Lead Sponsor
Yonsei University
Brief Summary

Epidural lidocaine is widely used in anesthesia for urologic or lower abdominal surgery because of its rapid onset. But the epidural anesthesia using high concentration of lidocaine may cause excessive motor block and unwanted side effects such as nausea, vomiting and hypotension.

This is a study to determine the effective concentration of lidocaine with fentanyl in lumbar epidural anesthesia for transurethral resection of prostate in elderly patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
20
Inclusion Criteria
  • ASA 1 -3, patients scheduled for TURP( transurethral resection of prostate) were included
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Exclusion Criteria
  • Patients with any contraindication to epidural anesthesia were excluded.

    • cognitive impairment
    • coagulopathy
    • allergy to lidocaine
    • infection at the puncture site
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
lidocaine with fentanyl 75ugepidural block with lidocaine and fentanyl-
Primary Outcome Measures
NameTimeMethod
Determining the effective concentration of lidocaine with fentanyl in lumbar epidural anesthesia for transurethral resection of prostate(TURP) in elderly patientsA blinded Assistant assess sensory and motor blockade in a 2-min intervals up to 60 minutes.

The occurrence of sensory block up to at T 12 and motor function score of 3 or more on the modified Bromage scale were considered characteristics of a successful block. Moreover, the surgery should be concluded without any complementary analgesia to confirm the success of the anesthetic procedure.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

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