Anaesthesia for cystoscopy. A comparative study of 3 methods of intravenous anaesthesia: diazepam-fentanyl, thiomebumal and althesin.
Three different methods of anaesthesia for diagnostic cystoscopy are compared in randomly divided series of 100 males each. Group I received diazepam-fentanyl supplemented with Althesin in case of therapeutic transurethral procedures. Group II had thiomebumalnatrium-N2O-O2 and group III had althesin-N2O-O2. Group I had no premedication while the two others were premedicated with morphine-scopolamine mixture. The period during and after anaesthesia was observed independently by the urologist, the anaesthetist, the nurses on the ward and by interviewing the patient the day after the cystoscopy. The anaesthetist was the only one who knew the method to be used. Diazepam-fentanyl proved to give sufficient analgesia. This combination offered the shortest and most uncomplicated period of recovery. Five patients given diazepam-fentanyl remembered the cystoscopy as being painful. All these cases could be related to insufficient coordination of anaesthesia and cystoscopy, which seems to be of major importance for this method.
D000368:Aged; D000530:Alfaxalone Alfadolone Mixture; D000768:Anesthesia, General; D000771:Anesthesia, Intravenous / Q000379:methods*; D003558:Cystoscopy; D003975:Diazepam; D005069:Evaluation Studies as Topic; D005283:Fentanyl; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine; D009609:Nitrous Oxide; D011229:Preanesthetic Medication; D013874:Thiopental
D009020:Morphine; D000530:Alfaxalone Alfadolone Mixture; D013874:Thiopental; D009609:Nitrous Oxide; D003975:Diazepam; D005283:Fentanyl