Aim: We aimed to compare the clinical efficacy of levobupivacaine
alone and levobupivacaine/sufentanil combination in spinal anesthesia
for transurethral resection of the prostate (TURP) in elderly patients.
Method: Ninety patients were randomly assigned into two groups to
receive either levobupivacaine 10 mg (Group L) or levobupivacaine 7.5
mg combined with 2.5 μg sufentanil (Group LS) for spinal anesthesia.
The dermatome level and upper level of sensory blockade, time to develop
a sensory block to T10, duration of sensory and motor blockade,
Bromage score at the end of surgery, two- segment sensory regression
time, and side effects were recorded. The quality of anesthesia was
evaluated and rated after the surgery.
Result: There were no significant differences between groups in demographic
data or hemodynamic variables in terms of sensory blockade,
onset time of sensory blockade to T10 dermatome, and two-segment
regression. Bromage score at the end of surgery was significantly
higher in Group L (p<0.05). The number of patients with maximum
motor block was significantly higher in Group L (p<0.05). Complete
motor block resolution time was longer in Group L (p<0.05). There
were no significant differences in side effects between groups except
for pruritus (p<0.05). There were no significant differences between
groups in quality of anesthesia.
Conclusion: It was shown that 10 mg levobupivacaine and 7.5 mg levobupivacaine
combined with 2.5 μg sufentanil were considered to
be convenient for clinical use in TURP surgery with spinal anesthesia;
both treatments provided adequate anesthesia with hemodynamic
stability in elderly patients.