title: [A comparison of combined spinal-epidural anesthesia with epidural anesthesia for postoperative pain relief after transurethral resection of the prostate].
abstract: BACKGROUND
  We compared combined spinal-epidural anesthesia (S group) and epidural anesthesia (E group) in terms of pain control after transurethral resection of the prostate (TUR-P).
  
  
  METHODS
  All 32 patients received 0.2% ropivacaine at a rate of 2 ml x hr(-1) by a portable disposable pump postoperatively.
  
  
  RESULTS
  S group was superior to E group in urethral pain control within three hours after operation. E group was superior to S group in decrease of back pain over six hours after operation. Fifteen patients (47%) suffered from irritability or low back pain and needed rescue analgesics.
  
  
  CONCLUSIONS
  Our result indicates that 0.2% ropivacaine at a rate of 2 ml x hr(-1) is not satisfactory to relieve the postoperative pain. Long acting local anesthetics for spinal anesthesia are not suitable for TUR-P. Supplemental administration of opioid to epidural space or higher rate of continuous epidural infusor after operation might be better analgesic choice for TUR-P.
authors.affiliation: Department of Anesthesia, Sapporo National Hospital, Sapporo 003-0804.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Echigoya
authors.forename: Naomi
authors.initials: N
authors.lastname: Henzan
authors.forename: Akiko
authors.initials: A
authors.lastname: Funatsu
authors.forename: Kenkichi
authors.initials: K
authors.lastname: Tsuruga
authors.forename: Youichi
authors.initials: Y
authors.lastname: Sanefuji
authors.forename: Hiroko
authors.initials: H
authors.lastname: Kasai
mesh_terms: D000368:Aged; D000577:Amides / Q000008:administration & dosage; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D000779:Anesthetics, Local / Q000008:administration & dosage; D006801:Humans; D017116:Low Back Pain / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control*; D000077212:Ropivacaine; D020728:Transurethral Resection of Prostate; D014521:Urethra
chemical_list: D000577:Amides; D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D000077212:Ropivacaine