Matthews R D, Nolan J F, Libby-Straw J A, Sands J P
Department of Urology, Naval Hospital, San Diego, California 92134-5000.
J Urol. 1992 Nov;148(5):1475-6. doi: 10.1016/s0022-5347(17)36942-2.
We report our experience using intravesical 0.5% bupivacaine as a topical anesthetic along with intravenous fentanyl and midazolam sedation to perform a variety of transurethral procedures in 78 patients. We achieved adequate pain control in all patients and observed no anesthetic complications. Use of this combination of intravesical topical anesthesia and intravenous sedation provided safe, adequate anesthesia to our patients undergoing various transurethral procedures in an outpatient clinic setting.
我们报告了在78例患者中使用膀胱内0.5%布比卡因作为局部麻醉剂，同时联合静脉注射芬太尼和咪达唑仑镇静，以进行各种经尿道手术的经验。我们在所有患者中均实现了充分的疼痛控制，且未观察到麻醉并发症。在门诊环境下，使用这种膀胱内局部麻醉和静脉镇静相结合的方法，为接受各种经尿道手术的患者提供了安全、充分的麻醉。
