Document Detail


Is invasive anesthetic monitoring necessary during radical prostatectomy?
MedLine Citation:
PMID:  12497175     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The purpose of this study was to obtain objective information on the necessity of invasive anesthetic monitoring during radical prostatectomy. We reviewed retrospectively the charts of 257 patients undergoing radical prostatectomy on an established pathway which did not include the intraoperative use of an arterial line or central venous catheter. Outcome measures including intraoperative vital signs, cardiac arrhythmias, blood loss and fluid management were assessed. In particular, we sought to determine situations in which insertion of monitoring devices was required because of an unanticipated intraoperative event. The patient ages ranged from 40 to 75 y with a mean of 60.3 y. The mean estimated blood loss was 546.9 cm(3) (median 500 cm(3)). Thirty-eight patients had a measured intraoperative systolic blood pressure of <90 mmHg, but no hypotensive episodes required any treatment other than fluid administration. A single patient required pharmacologic therapy for hypertension. One patient received intravenous lidocaine because of premature ventricular contractions, but no other arrhythmias were observed. No patient required intraoperative insertion of an arterial line or central venous catheter. These data provide objective evidence for the abandonment of routine use of central venous catheters or arterial lines during radical prostatectomy. This avoids not only the expense of these maneuvers, but also the potential morbidity of unnecessary invasive medical procedures.
Authors:
D N Ead; M Koch; J A Smith
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Prostate cancer and prostatic diseases     Volume:  2     ISSN:  1476-5608     ISO Abbreviation:  Prostate Cancer Prostatic Dis.     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2002-Dec-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815755     Medline TA:  Prostate Cancer Prostatic Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  282-284     Citation Subset:  -    
Affiliation:
Vanderbilt University Medical Center, Department of Urologic Surgery, A 1302 Medical Center North, Nashville, TN 37232-2765, USA.
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