Can ropivacaine be preferred for epidural anesthesia for Turp operations?

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dc.contributor.authorAydin N.
dc.contributor.authorÖlmez G.
dc.contributor.authorÖzyilmaz M.A.
dc.date.accessioned2024-04-24T18:43:40Z
dc.date.available2024-04-24T18:43:40Z
dc.date.issued2006
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Epidural anesthesia is preferred in endoscopic urological procedures as it decreases the incidence of surgical bleeding and venous thrombosis and provides early diagnosis of complications such as bladder rupture and TURP syndrome. The aim of this study is to compare ropivacaine and bupivacaine in epidural anesthesia for cases to undergo TURP surgery. Method: Forty eight ASA I-III male patients aged 45-85 with benign prostate hypertrophy undergoing transurethral resection were included in this study. In Group I, 20 ml of ropivacaine 0.5 %, in Group II 20 ml of bupivacaine 0.5 % were administered by epidurally. Hemodynamic parameters, patients' comfort, anesthetic properties and side effects were compared. Results: In Group I, time it took for the anesthesia level to reach T10, two-segment regression time and regression time to T12 were found to be faster than in Group II (p=0.024, p=0.006, p=0.004). Motor blockade was more intense in Group II than in Group I. Efficient anesthesia and analgesia were obtained in both groups. There was no difference in terms of side effects and quality of blockade between the groups. The most commonly encountered side effects were hypotension, and bradycardia in both groups. Conclusion: We can say that both medications are safe and effective in TURP surgery. However, ropivacaine has faster sensorial block, dissipates more rapidly and has less motor block density bupivacaine.en_US
dc.identifier.endpage20en_US
dc.identifier.issn1300-0578
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-33645647605en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage15en_US
dc.identifier.urihttps://hdl.handle.net/11468/24271
dc.identifier.volume14en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofAnestezi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBupivacaineen_US
dc.subjectEpidural Anesthesiaen_US
dc.subjectRopivacaineen_US
dc.subjectTurpen_US
dc.titleCan ropivacaine be preferred for epidural anesthesia for Turp operations?en_US
dc.title.alternativeTURP Ameliyatlarinda Epidural Anestezide Ropivakain Tercih Edilebilir mi?en_US
dc.typeArticleen_US

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