Ignite Creation Date:
2024-05-06 @ 7:27 PM
Last Modification Date:
2024-10-26 @ 3:07 PM
Study NCT ID:
NCT06014957
Status:
RECRUITING
Last Update Posted:
2023-10-04
First Post:
2023-08-17
Brief Title:
Comparison of Hemodynamic Effect Between the Spinal Anesthesia and Saddle Block Using Levobupivacaine During Transurethral Resection of the Prostate in Cardiac Elderly Patients
Sponsor:
New Valley University
Organization:
New Valley University
Study Overview
Official Title:
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
Status Verified Date:
2023-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief 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
Detailed Description:
TURP is performed by inserting a resectoscope through the urethra and resecting prostatic tissue with an electrically powered cutting-coagulating metal loop or using laser-22 vaporization energy This can be accomplished with either a monopolar TURP M-TURP or bipolar TURP B-TURP technique Laser energy for TURP has also been used for many years With each technique as much prostatic tissue as possible is resected but the prostatic capsule is usually preserved If the capsule is violated large amounts of irrigation solution can be absorbed into the circulation via the periprostatic retroperitoneal or peritoneal space Bleeding during TURP is not uncommon but usually controllable hemostasis becomes difficult when large venous sinuses are opened If the bleeding becomes uncontrollable the procedure should be terminated as quickly as possible and a Foley catheter should be passed into the bladder and traction applied to it The catheters inflated balloon exerts lateral pressure on the prostatic bed and reduces bleeding Bleeding requiring transfusion occurs in approximately 25 of TURP procedures
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None