Revista de ensayos clínicos sobre el cáncer

Brachytherapy, Sedation Vs Spinal Analgesia, about 99 Cases

Abstract

Yassine Smiti*, Brahim El Ahmadi, Zakaria Belkhadir, and Abdelilah Ghannam

Introduction: The installation of brachyherapy applicator is a painful invasive procedure requiring anesthesia. In this study, we propose to compare intravenous anesthesia with spontaneous ventilation to an intrathecal analgesic protocol with local anesthetics and fentanyl. The main objective was to demonstrate the superiority of spinal analgesia in terms of per and postoperative analgesia during patient mobilization for CT scan. We performed a randomized clinical trial for women patients ASA 1 and 2 programmed for brachytherapy, then we divided them into 2 groups. Group 1: Have benefited from intravenous anesthesia by propofol titration with fentanyl. Group 2: Benefited from spinal analgesia with bupivacaine 5 mg and fentanyl 25 mg. Then we collected demographic data, quality of anesthesia (Ramsay score for level of sedation, analgesia level by analogical visual scale score), hemodynamic and respiratory parameters, anesthetics events , duration of anesthetic acts, pain during mobilization.