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Anaesthesia for cystectomy
Author(s) -
RYAN D. W.
Publication year - 1982
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1982.tb01226.x
Subject(s) - medicine , cystectomy , fentanyl , anesthesia , incidence (geometry) , bladder cancer , blood loss , surgery , cancer , physics , optics
Summary Sixty‐two patients who underwent radical cystectomy for deeply infiltrating cancer of the bladder were reviewed. Twenty‐four received an epidural anaesthetic and 38 a conventional muscle relaxant and fentanyl anaesthetic. The epidural technique was found to offer advantages because of its hypotensive effects reducing blood loss intra‐operatively and its use to provide analgesia after surgery. A high incidence of complications accompanied the surgery and frail patients (below 50 kg) and those with symptomatic respiratory disease had a high mortality. Greater attention to pre‐operative care of such patients is indicated.