Key result
Spinal anaesthesia shows no difference versus general anaesthesia for silent myocardial ischaemia during transurethral prostatectomy.
Why the study?
The incidence and load of silent myocardial ischaemia in patients undergoing transurethral prostatectomy and its relation to anaesthesia type and cardiac risk factors were unclear.
Does spinal anaesthesia compared to general anaesthesia reduce silent myocardial ischaemia in patients undergoing transurethral prostatectomy?
Comparison
Spinal anaesthesia (n = 60) vs general anaesthesia (n = 34)
Design
Observational cohort study with Holter ECG monitoring
Follow-up
Pre- and postoperative
Authors
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Spinal anaesthesia was not associated with reduced silent ischaemia versus general in TURP; leaves open whether anaesthetic choice influences perioperative cardiac risk.
Observational (n=94)
Does spinal anaesthesia compared to general anaesthesia reduce silent myocardial ischaemia in patients undergoing transurethral prostatectomy?
In patients undergoing transurethral prostatectomy, the type of anaesthesia (spinal vs general) does not affect the incidence or load of silent myocardial ischaemia, and cardiac risk scores are poor predictors of ischaemic load.
Windsor et al. (1996) conducted an observational in Patients undergoing transurethral resection of the prostate (n=94). Spinal anaesthesia vs. General anaesthesia was evaluated on Incidence or load of silent myocardial ischaemia. Spinal anaesthesia compared to general anaesthesia showed no difference in the incidence or load of silent myocardial ischaemia in patients undergoing transurethral prostatectomy.
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