Abstract

Aim: to evaluate the anaesthetic efficacy of saddle block in maintaining hemodynamic stability in patients with low ejection fraction/poor cardiac function undergoing TURP. Materials and Methods: This was a pilot study performed on 10 geriatric patients aged between 65- to 80-year-old with low cardiac reserve with Ejection fraction between 40 to 45% who were posted for TURP procedure. A thorough preoperative examination, detailed history, complete physical and systemic examination were done. Routine investigations such as haemoglobin, bleeding time, clotting time, urine examination, blood sugar, blood urea, serum creatinine, serum electrolytes, chest X-ray, electrocardiography and 2D ECHO was performed. Results: The mean age of the study population was 73.8 +/- 5.44 years, with the range being 65-80 years. The average BMI was 21.9 kg/m2, which was normal, with other demographic parameters also within the expected range. The average prostrate volume is necessary to assess the difficulty and duration of surgery, and in our study, we observed the volume to be 37.6 cc, with the average duration of surgery being 57.7 minutes. The mean SBP was 120.6 +/- 10.54 mm Hg, while mean DBP was 73.6 +/- 6.31 mm Hg. The mean heart rate was observed to be normal throughout the surgery, with the highest being 92 in one patient. Conclusion: Saddle block is a simple and efficient regional anesthesia procedure for sufficient anaesthesia, intraoperative hemodynamic stability, and postoperative analgesia in elderly patients with poor ejection fraction undergoing TURP.

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