2015
DOI: 10.7860/jcdr/2015/14091.6301
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A Comparison of Efficacy of Segmental Epidural Block versus Spinal Anaesthesia for Percutaneous Nephrolithotomy

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Cited by 12 publications
(10 citation statements)
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“…As Nandanwar et al [ 5 ] described, positioning a patient with less assistance was an additional advantage of EA, but the advantage was more prominent with TPVB because of ipsilateral somatic blockade. At our institute, unilateral PCNL was preferably performed in lateral decubitus position by endourologists on the belief of ease for establishing renal access and manipulating the nephroscope and lithotripters.…”
Section: Discussionmentioning
confidence: 99%
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“…As Nandanwar et al [ 5 ] described, positioning a patient with less assistance was an additional advantage of EA, but the advantage was more prominent with TPVB because of ipsilateral somatic blockade. At our institute, unilateral PCNL was preferably performed in lateral decubitus position by endourologists on the belief of ease for establishing renal access and manipulating the nephroscope and lithotripters.…”
Section: Discussionmentioning
confidence: 99%
“…Two recent systematic reviews showed that both GA and RA were safe and effective for PCNL; RA offered several potential advantages over GA in terms of surgical duration, hospitalization period, postoperative pain, analgesic requirements, and blood transfusion [ 3 , 4 ], which indicated that RA may be a good alternative technique to GA for PCNL. Another advantage of RA for PCNL is that patients can position themselves without much assistance, and thus less operative theater staff is required for positioning from the supine to prone position [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…There are also a small number of studies comparing PNL under EA with PNL under the other RA techniques. Nandanwar et al (20) compared PNL under EA and PNL under SA and they reported that segmental epidural block was better than SA in terms of hemodynamic stability, postoperative analgesia, patient satisfaction and reduced incidence of nausea and vomiting. They also stated that EA was difficult to execute and took longer time to act as compared to spinal block which limits its use (20).…”
Section: Discussionmentioning
confidence: 99%
“…General anesthesia is associated with a risk of complications due to putting an intubated, muscle-relaxed, unconscious patient in a prone position. Other complications, including blood transfusion, nausea and vomiting or fever, are more often observed after general than after regional anesthesia; the cost of general anesthesia is also higher [ 2 ]. Regional anesthesia that can be performed independently for PNL includes spinal, epidural or combined spinal-epidural blocks.…”
Section: Introductionmentioning
confidence: 99%