New prospectives in spinal anaesthesia for urogenital tract surgery in geriatric patients

Introduction Spinal anaesthesia (SA) is the most commonly used anesthetic technique for transurethral resection of prostate (TURP) surgery in geriatric patient population [1]. Many geriatric patients have coexisting cardiac or pulmonary diseases, so it’s very important to limit the distribution of the block to prevent the possible hemodynamic and pulmonary adverse effects. The purpose of this study is to compare the effectiveness of using intrathecal low dose bupivacaine-fentanyl combination with conventional dose prilocaine-fentanyl combination for day case TURP surgery in geriatric patient population [1]. We hypothesized that, using low dose bupivacaine-fentanyl combination provides shorter duration of block duration and postanesthesia care unit (PACU) stay with better hemodynamic stability than using conventional dose prilocaine-fentanyl combination.