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RISKS AND BENEFITS OF DIFFERENT ANESTHESIA TECHNIQUES FOR TRANSURETHRAL RESECTIONS
MONIKA KOCMAN
; Varaždin General Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Varaždin, Croatia
IVA BAČAK KOCMAN
; Zagreb University Hospital Centre and School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Anesthesiology, Resuscitation and Intensive Medicine, and Zagreb, Croatia
TOMISLAV KULIŠ
; Zagreb University Hospital Centre and School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Urology, Zagreb, Croatia
Abstract
Transurethral resections are procedures on urinary bladder, urethra or prostate performed with a resectoscope. Patients undergoing this type of surgery are usually older with associated comorbidities. For this reason, they represent a challenge for anesthesiologists and anesthesia technique as well. Hemodynamic stability and the possibility to diagnose complications during or after the operation without impairment of consciousness is of great importance. After detailed literature and database search, we reviewed different approaches to anesthesia for the specifi c group of patients. According to our search, we conclude that spinal anesthesia with minimal doses of local anesthetic in combination with an opioid is preferable over general anesthesia because of the minimal effect on hemodynamic stability and postoperative analgesic requirement. The anesthesiologist must be aware of the risks and benefi ts of each anesthesia technique; therefore, individual approach is crucial for optimal outcome.
Keywords
transurethral resection; general anesthesia; regional anesthesia; selective spinal anesthesia; epidural anesthesia
Hrčak ID:
208550
URI
Publication date:
16.11.2018.
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