Presentation Authors: Yue Wu*, Yunpeng Zhu, Yang Xun, Wuhan, China, People's Republic of, Shaogang Wang, Whhan, China, People's Republic of
Introduction: To explore the clinical efficacy and safety of ultrasound-guided multilevel paravertebral nerve block anesthesia in transurethral ureteroscopic laser lithotripsy.
Methods: We retrospectively analyzed 170 patients who underwent transurethral ureteroscopic laser lithotripsy at our institution from July 2017 to July 2018. According to the different anesthesia methods, 69 cases were in the study group and 101 cases were in the control group, the study group underwent ultrasound-guided multilevel paravertebral block anesthesia, and the control group received general anesthesia. The intraoperative hemodynamic parameters, anesthesia induction time, operation time, intraoperative and postoperative complications, stone clearance rate, hospital stay, and lower limb muscle strength were compared.
Results: The anesthesia induction time, postoperative complications, and hospitalization time of the study group were significantly lower than those of the control group(P < 0.05).The hemodynamic parameters of the study group were stable compared with the control group and the lower limb muscle strength of the study group was significantly higher than that of the control group(P < 0.05).The operation time of the study group was shorter than that of the control group, but there was no statistical difference(P>0.05).There was no significant difference in anesthetic effect and stone clearance rate between the two groups.
Conclusions: In transurethral ureteroscopic laser lithotripsy, ultrasound-guided multilevel paravertebral nerve block anesthesia and general anesthesia can achieve good anesthesia, however, intraoperative hemodynamics are more stable in patients with paravertebral nerve block anesthesia. Reducing the use of general anesthetics and perioperative pulmonary complications and postoperative muscle strength recovery is faster, shorter hospital stay and less medical expenses.