Abstract
MODE OF ANAESTHESIA IN PATIENT UNDERGOING TRANSURETHRAL RESECTION OF BLADDER TUMOR AT BPKIHS: A RETROSPECTIVE REVIEW OF RECORDS

*Y. Trikhatri, S. N. Singh, A. Subedi, P. M. Limbu, A. Gautam and A. Kafle

ABSTRACT

Background: The intraoperative complications during transurethral resection of bladder tumor(TURBT) are obturator jerk, bladder perforation, ICU admission and mortality. Sub arachnoid block when combined with obturator nerve block prevents these complications and reduces postoperative hospital stay. Materials and Method: A retrospective review of records was done of patient undergoing TURBT between May 2019-June2021 of all age group They were either given general anaesthesia or subarachnoid block(SAB) with 25 gauze quincke’s spinal needle at L3-L4 OR L4-L5 interspace with 0.5% heavy bupivacaine 2.8 ml combined with ultrasound guided obturator block on the ipsilateral side of tumor with 0.5% ropivacaine 5-10 ml. General anaesthesia was given with intravenous induction agent, muscle relaxant and inhalational agents. Standard dosage of drugs were used. Result: Out of 43 cases 26 under GA and 17 under SAB with obturator nerve block(ONB). Obturator jerk was seen in 2 patient in SAB with ONB group. Bladder perforation, ICU admission and mortality were absent in both groups. The mean postoperative hospital stay was slightly higher in GA patients (mean3.31±SD1.6 days), compared to SAB+ONB (mean3.24±SD1.4 days). Conclusion: SAB with ONB prevents postoperative complications in TURBT and reduces the postoperative hospital stay.

Keywords: Transurethral resection of bladder tumor, Anaesthesia, Obturator nerve block.


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