ĐÁNH GIÁ HIỆU QUẢ CỦA GÂY TÊ TUỶ SỐNG BẰNG HỖN HỢP BUPIVACAIN ƯU TRỌNG KẾT HỢP FENTANYL TRONG PHẪU THUẬT CẮT TINH HOÀN

Abstract

Objective: Evaluate the anesthetic effect and safety of spinal anesthesia with a mixture of high density bupivacaine and fentanyl in orchiectomy surgery. Methods: Cross-sectional study on 74 orchiectomy patients who were anesthetized using spinal anesthesia combined with bupivacaine and fentanyl at the Emergency and Intensive care Department, Vietnam National Cancer Hospital, from March 2023 to December 2023. Results: Average age was 70.92 ± 11.6 years; Average bupivacaine dose 8 ± 0.5mg; Average surgery time 46 ± 15.6 minutes; The average latency of anesthetic inhibition at T6 was 4.66 ± 1.1 minutes; The average sensory recovery time at T6 was 96.3 ± 13.1 minutes; The average motor recovery time at M0 level is 122.5 ± 10.1 minutes; The average postoperative pain relief time is 4.3 ± 0.9 hours; 100% of patients achieved good levels of anesthesia, without having to use additional painkillers or change anesthetic methods. Blood pressure, heart rate, breathing rate, and SpO2 indexes were relatively stable throughout the surgery. The rate of side effects is low, hypotension is the most common side effect. Conclusion: Anesthesia using spinal anesthesia with bupivacaine combined with fentanyl for orchiectomy is effective and safe for patients.