Comparison of Hemodynamic Effect Between the Spinal Anesthesia and Saddle Block Using Levobupivacaine During Transurethral Resection of the Prostate in Cardiac Elderly Patients: A Randomized Clinical Trial

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Transurethral resection of the prostate (TURP) is the most common surgical intervention for patients with benign prostatic hyperplasia. TURP is mostly applied to elderly patients with hypertension and problems with breathing, circulation system, and kidney functions; therefore, it becomes very important to keep a stable anesthesia that will minimize the hemodynamic differences in these patients. General anesthesia causes more hemodynamic differences than regional anesthesia. Thus, regional anesthesia is highly preferable in TURP applications.

Eligibility
Participation Requirements
Sex: Male
Minimum Age: 65
Maximum Age: 80
Healthy Volunteers: f
View:

• American Society of Anesthesiologists (ASA) III,

• with Ischemic Heart Disease (history of Myocardial Ischemia,

• a history of a positive treadmill test result (Electro Cardio Graph stress test),

• use of nitroglycerin, chronic stable angina for more than two months, or an ECG with abnormal Q waves), with ejection fraction (EF) 35%-50%,

Locations
Other Locations
Egypt
Ahmed Omar Twaisy
RECRUITING
New Cairo
Contact Information
Primary
Ahmed Twaisy, MD
Twisy200235@med.nvu.edu.eg
01007410757
Time Frame
Start Date: 2023-08-30
Estimated Completion Date: 2023-12
Participants
Target number of participants: 60
Treatments
Experimental: spinal group
12.5 mg of 0.5% hyperbaric levobupivacaine (2.5 ml) was given at the level of L4-5 interspaces after the free flow confirming of the cerebrospinal fluid (CSF),immediately positioned supine with one pillow supporting the head and shoulders.
Experimental: saddle block group
12.5 mg of 0.5% hyperbaric levobupivacaine (2.5 ml) was given at the level of L4-5 interspaces after the free flow confirming of the cerebrospinal fluid (CSF),placed in the sitting position for ten minutes and then supine with one pillow supporting the head and shoulders.
Sponsors
Leads: New Valley University

This content was sourced from clinicaltrials.gov