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COMPARISON OF HEMODYNAMIC ALTERATIONS SUITABLE SURGICAL CONDITION BETWEEN SUB-ARACHNOID BLOCK AND SADDLE BLOCK IN SURGERY OF TRANS-URETHRAL RESECTION PROSTATE

Talha Masood, Nimra Raza, Maria Raza

Background and Objective: Regional anesthesia is a method of own choice in TURP (Trans-urethral resection of prostate). The most significant anomaly of this spinal procedure is the danger of hypotension. The aim of this research work is to provide a comparison of the hemodynamic alterations and suitable condition of surgery among saddle block and sub-arachnoid block for trans-urethral resection of prostate. Methodology: Total 96 patients having age from 50 to 70 years ASA-PS-1 and 2 arranged for transurethral resection of prostate divided into two groups with forty-five patients in every group. The patients of Group-A received spinal and patients of Group-B obtained saddle block. We recorded the blood pressure, heart beat rate and saturation of oxygen for all the patients. We also noted the height of block for patients of both groups. The management of the hypotension carried out with the utilization of the phenylephrine fifty mcg bolus and we noted the complete vasopressor requirement. We also noted down the related complications as syndrome and overload of the volume. Results: The prevalence of the hypotension and requirement of the vasopressor was very less in the patients of Group-B. We achieved the suitable surgical condition in all the patients of both groups. There was no occurrence of the perforation of bladder, TURP syndrome and overload of the volume. Conclusion: Trans-urethral resection of prostate is very easy to perform under the saddle block with no hypotension and very short need for the vasopressor. KEY WORDS: Vasopressor, hypotension, transurethral, methodology, overload, saddle lock, TURP, bladder, occurrence.

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