Comparison of Intrathecal Fentanyl or Sufentanil in 1 mg Bupivacaine Spinal Anesthesia for TURP in Elderly Patients
Overview
- Phase
- Not Applicable
- Intervention
- Fentanyl
- Conditions
- Adequate Anesthesia With Unimpaired Motor Strength
- Sponsor
- Yonsei University
- Enrollment
- 56
- Locations
- 1
- Primary Endpoint
- time to achieve peak sensory block without unimpaired motor strength
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
Adequate sensory block for surgical procedure without side effects and immediate mobilization after surgery are desirable anesthetic technique in various surgeries. Considering the sensory innervations to the prostate, a sensory block up to L1 - T12 is adequate to the TURP. Low-dose intrathecal local anesthetics may meet these criteria, but occasional lack of sufficient sensory block could be troublesome. In this randomized study, the investigators evaluated the spinal anesthetic characteristics following intrathecal administration of bupivacaine 1 mg with fentanyl or sufentanil in elderly patients undergoing TURP.
Investigators
Eligibility Criteria
Inclusion Criteria
- •age over 65 \~ under 85yrears old
- •elderly patients undergoing TURP
- •only spinal anesthesia
- •patients consent about this study
Exclusion Criteria
- •spine surgery History
- •coagulopathy
- •impaired communication
- •impaired orientation
- •DM complication neuropathy
- •BMI \> 30 -\> overweight patients.
Arms & Interventions
group A
Fentanyl
Intervention: Fentanyl
Group B
Sufentanil
Intervention: Sufentanil
Outcomes
Primary Outcomes
time to achieve peak sensory block without unimpaired motor strength
Time Frame: 2 minites after injection intrathecally start
peak sensory \& sympathetic block level, time to peak sensory \& sympathetic block level, motor block level at peak sensory \& sympathetic block level, lowest BP and HR during spinal anestheisa, frequency of painkiller