Spinal Anesthesia with Low-Dose Bupivacaine-Fentanyl Combination: A Good Alternative for Day Case Transurethral Resection of Prostrate Surgery in Geriatric Patients

SummaryBackground and objectiveWe evaluated the effectiveness, block duration, postanesthesia care unit stay and adverse effects of using intrathecal low dose bupivacaine and fentanyl combination and compared with conventional dose prilocaine and fentanyl combination for day case transurethral resection of prostate surgery in geriatric patient population.Materials and MethodsSixty patients were randomized into two groups with Group B receiving 4mg bupivacine 0.5%+25μg fentanyl and Group P receiving 50mg prilocaine 2%+25μg fentanyl intrathecal. Block quality and duration, postanesthesia care unit stay and adverse effects were compared.ResultsBlock durations and postanesthesia care unit stay were shorter in Group B than in Group P (p