At the moment , the evidence available can not prove that neuraxial anesthesia is more effective and safer than general anesthesia for urological surgery .
There were insufficient data to pool the results relating to mortality , stroke , myocardial infa rct ion , length of hospitalization , quality of life , degree of satisfaction , postoperative cognitive dysfunction and blood transfusion requirements
CONTEXT AND OBJECTIVE Choosing the best anesthetic technique for urological surgery with the aim of mortality reduction remains controversial .
The objective here was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for urological surgery .
Effect of epidural versus general anaesthesia on peroperative blood loss during retropubic prostatectomy
Peroperative blood loss , arterial blood pressure and central venous pressure were studied in patients subjected to retropubic prostatectomy . The patients were r and omly allocated to two groups , continuous lumbar epidural analgesia for up to 24 hours and a thiopentone-oxyg n-nitrous oxide-alcuronium-pethidine sequence with intermittent positive pressure ventilation .  The mean peroperative blood loss during operations under epidural analgesia was significantly less than that under general anaesthesia ( 370±34 ml vs. 590∓35 ml , mean ∓SE ) . Only one patient out of 17 cases of epidural analgesia needed a peroperative blood transfusion , in contrast to 5 out of 21 general anaesthesias . Both the arterial systolic and diastolic pressures , and central venous pressure were significantly lower under epidural analgesia than general anaesthesia . It was concluded that decreased arterial and venous pressure were responsible for the reduced blood loss under epidural analgesia
At the moment , the evidence available can not prove that neuraxial anesthesia is more effective and safer than general anesthesia for urological surgery .
There were insufficient data to pool the results relating to mortality , stroke , myocardial infa rct ion , length of hospitalization , quality of life , degree of satisfaction , postoperative cognitive dysfunction and blood transfusion requirements
CONTEXT AND OBJECTIVE Choosing the best anesthetic technique for urological surgery with the aim of mortality reduction remains controversial .
The objective here was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for urological surgery .