authors
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Marcin Ciechomski
- Katedra Anestezjologii i Intensywnej Terapii Akademii Medycznej w Warszawie
Kierownik katedry: prof. dr hab. Ewa Mayzner-Zawadzka
keywords
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bladder, blockade of obturator nerve, intraoperative complications, perforation
summary
- objectives
- The purpose of the study was to evaluate an obturator nerve blockade by interadductor approach in patients laying in lithotomy position for transurethral procedures.
- patients and methods
- From 01.01.2000 to 30.06.2003 we studied prospectively in Department of Urology, Medical University of Warsaw all patients required obturator nerve blockade.
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- Patients were placed in lithotomy position under spinal anaesthesia. Blockade of an obturator nerve was performed using interadductor approach with 10 mL of 2% Lidocaine.
- results
- Obturator nerve blockade was performed 189 times. 174 (92,06%) blockades were recognized as successful, 9 (4,76%), as satisfactory and in 6 (3,18%) cases there were no blockade.
- We did not observe any complications related to the blockade. In one case with satisfactorily recognized blockade, perforation of the bladder wall occurred. It was treated conservatively.
- conclusions
- Interadductor approach of obturator nerve blockade in patients laying in lithotomy position is an effective method of preventing of uncontrolled muscle contraction during transurethral resection of bladder tumors.
- Obturator nerve blockade by interadductor approach is a safe method preventing perforation of bladder wall during transurethral procedures.
references
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- Ciechomski M, Jureczko L, Mayzner-Zawadzka E: Evaluation of the adductor approach to the obturator nerve blockade in transurethral surgery. Eur J Anaesthesiol 2003; 20 Suppl. 30: 106.
correspondence
Marcin Ciechomski
Katedra Anestezjologii i Intensywnej Terapii AM
ul. Lindleya 4
02-005 Warszawa
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