Piotr Jakubów, Piotr Gałkin, Robert Kozłowski
Med Sci Monit 1999; 5(2): CR269-273
Background: The aim of this study was to evaluate methods of anesthesia during radical cystectomy operations with supracystic urinary diversion.
Material/Methods: We retrospectively analysed case records and anesthesia cards of 32 cancer patients subjected to radical cystectomy with supracystic urinary diversion between 1995-1997.
Results: The best hemodynamic stability was observed in the group of patients with general anesthesia combined with epidural Ketamine, 0.125% Bupivacaine and Fentanyl. These patients presented with the least decrease of MAP and HR increase. This group had effective pain relief following surgery, and a lower incidence of postoperative complications.
Conclusions: Ketamine used in the epidural space is effective in avoiding blood pressure drops during radical cystectomy anesthesia.
Keywords: Ketamine, combined epidural anesthesia, bladder cancer