Mahnaz - MSc in Medical-Surgical Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
Amir - Assistant Professor, Department of Anesthesia, Emam Reza General Hospital, Birjand University of Medical Sciences, Birjand, Iran
Fahimeh - Instructor, Nursing Department, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
Gholamhossein - Associate Professor, Nursing Department, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran

Background: Spinal anesthesia is the most prevalent anesthetic method used for transurethral resection of the prostate (TURP) surgery. Lower motor block and fewer side effects can be achieved by lower doses of anesthesia. Aim: The present study aimed to compare the effects of Spinal anesthesia with a low dose of hyperbaric bupivacaine plus fentanyl with hyperbaric bupivacaine for TURP surgery on hemodynamic effects, duration of analgesia, and Motor block. Method: This randomized-controlled study was conducted on ۶۲ patients undergoing TURP surgery within ۲۰۱۷-۱۸. BF group received ۰.۵% hyperbaric bupivacaine(۱mg) ۰.۲ ml+fentanyl (۲۰µg) ۰.۴ ml+۵% dextrose ۱.۴ml, while B group received ۰.۵% hyperbaric bupivacaine (۱۰mg)۲ml. Bromage scale and Visual Analog Scale of pain and Nausea were used. The obtained data were analyzed in SPSS software version (۲۰). Results: Groups were homogenous in terms of demographic characteristics. The time to reach the sensory level of T۱۰ was significantly longer in the BF group, compared to the B group (P<۰.۰۰۱). The motor block score was less in the BF group than the B group. The mean total recovery time of the sensory block to L۵ in the BF group was significantly lower than that of the BF group (P<۰.۰۰۱). The mean score of nausea severity during surgery was significantly lower in the BF group, compared to the B group (P=۰.۰۲). The hemodynamic stability was higher in the BF group. Implications for Practice: A combination of ۱mg bupivacaine with ۲۰μg fentanyl could be used for anesthesia in TURP surgery as an effective method to provide sufficient analgesic effects, as well as lower motor block and side effects.  

Bupivacaine, Fentanyl, Hemodynamic, Nausea, Pain, Spinal anesthesia, Transurethral Resection of Prostate