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Comparison of intrathecal fentanyl and sufentanil in low-dose dilute bupivacaine spinal anaesthesia for transurethral prostatectomy
British Journal of Anesthesia, 10/01/09
Kim SY et al. – Low–dose diluted bupivacaine with fentanyl 25 microg or sufentanil 5 microg can provide adequate anaesthesia without haemodynamic instability for TURP in elderly patients. However, sufentanil was superior to fentanyl in the quality of the spinal block produced.
H. K. Kil, 10/06/09
| It is enough to block the sensory level to T12-L1 in spinal anesthesia for TURP. Especially in elderly patients who have various comorbidity, it is important to limit the block level in avoid to unstable hemodynamic changes. As the result of our study, low-dose dilute bupivacaine (0.25%, 4 mg) with fentanyl 25 mcg or sufentanil 5 mcg provided adequate anesthesia without hemodynamic instability for TURP in erlderly patients. However, sufentanil was superior to fentanyl in the quality of the spinal block produced. |
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