Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate
BACKGROUND: Spinal anesthesia is often the mode of anesthesia in transurethral resection of prostate (TURP) albeit with risk of hypotension. However, hemodynamic derangement is often less pronounced in saddle block. This study was conducted to compare the mean fall in Mean arterial Pressure (M...
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Rawalpindi Medical University
2023-01-01
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| Series: | Journal of Rawalpindi Medical College |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2047 |
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| author | Waqas Anjum Abeera Zareen Faisal Siddique Muhammad Haroon Anwar Abdul Rehman |
| author_facet | Waqas Anjum Abeera Zareen Faisal Siddique Muhammad Haroon Anwar Abdul Rehman |
| author_sort | Waqas Anjum |
| collection | DOAJ |
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BACKGROUND:
Spinal anesthesia is often the mode of anesthesia in transurethral resection of prostate (TURP) albeit with risk of hypotension. However, hemodynamic derangement is often less pronounced in saddle block. This study was conducted to compare the mean fall in Mean arterial Pressure (MAP) and Heart rate (HR) between modified saddle block and subarachnoid block for TURP.
OBJECTIVE:
To compare the mean fall in MAP and HR between modified saddle block and subarachnoid block for TURP.
METHODS:
In this randomized controlled trial 120 patients undergoing elective TURP were included and divided into two groups. Group A Patients received subarachnoid block and Group B received modified saddle block. Baseline hemodynamics were recorded before and then at 5 minutes after anesthesia. All the collected data was entered into SPSS version 22 and analyzed. Quantitative data like age, BMI, ASA-PS score, duration of surgery and baseline hemodynamics were presented as means and standard deviations. The fall of mean arterial pressure (MAP) & heart rate (HR) were compared among groups by independent t test and P value < 0.05 was considered as statistically significant.
RESULTS:
Mean fall in MAP was 8.98±1.28 mmHg and 3.13±0.68 mmHg (p<0.001) in group A and B, respectively. Mean fall in HR was 7.17±0.98 and 2.78±0.59 (p<0.001) in group A and group B, respectively.
CONCLUSION:
Modified saddle block resulted in significantly decreased fall in MAP and HR as compared with subarachnoid block for TURP.
KEY WORDS:
Modified Saddle Block; Subarachnoid Block; Mean Arterial Pressure
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| format | Article |
| id | doaj-art-2c119ba128644c99a347e70967ce1adc |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-2c119ba128644c99a347e70967ce1adc2025-02-06T08:45:15ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702023-01-0126410.37939/jrmc.v26i4.2047Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate Waqas AnjumAbeera ZareenFaisal SiddiqueMuhammad Haroon AnwarAbdul Rehman BACKGROUND: Spinal anesthesia is often the mode of anesthesia in transurethral resection of prostate (TURP) albeit with risk of hypotension. However, hemodynamic derangement is often less pronounced in saddle block. This study was conducted to compare the mean fall in Mean arterial Pressure (MAP) and Heart rate (HR) between modified saddle block and subarachnoid block for TURP. OBJECTIVE: To compare the mean fall in MAP and HR between modified saddle block and subarachnoid block for TURP. METHODS: In this randomized controlled trial 120 patients undergoing elective TURP were included and divided into two groups. Group A Patients received subarachnoid block and Group B received modified saddle block. Baseline hemodynamics were recorded before and then at 5 minutes after anesthesia. All the collected data was entered into SPSS version 22 and analyzed. Quantitative data like age, BMI, ASA-PS score, duration of surgery and baseline hemodynamics were presented as means and standard deviations. The fall of mean arterial pressure (MAP) & heart rate (HR) were compared among groups by independent t test and P value < 0.05 was considered as statistically significant. RESULTS: Mean fall in MAP was 8.98±1.28 mmHg and 3.13±0.68 mmHg (p<0.001) in group A and B, respectively. Mean fall in HR was 7.17±0.98 and 2.78±0.59 (p<0.001) in group A and group B, respectively. CONCLUSION: Modified saddle block resulted in significantly decreased fall in MAP and HR as compared with subarachnoid block for TURP. KEY WORDS: Modified Saddle Block; Subarachnoid Block; Mean Arterial Pressure https://www.journalrmc.com/index.php/JRMC/article/view/2047 |
| spellingShingle | Waqas Anjum Abeera Zareen Faisal Siddique Muhammad Haroon Anwar Abdul Rehman Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate Journal of Rawalpindi Medical College |
| title | Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate |
| title_full | Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate |
| title_fullStr | Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate |
| title_full_unstemmed | Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate |
| title_short | Hemodynamic Comparison between modified saddle block and subarachnoid block for Transurethral Resection of Prostate |
| title_sort | hemodynamic comparison between modified saddle block and subarachnoid block for transurethral resection of prostate |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2047 |
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