Peri-operative analgesia for Robot Assisted Laparoscopic Prostatectomy - Comparison of spinal plus general anaesthesia vs usual practice
by Jeannine Stone
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Aim
Different anaesthesia techniques were being utilised to provide anaesthesia and analgesia for Robot Assisted Laparoscopic Prostatectomy (RALP) patients. We wanted to assess whether either technique led to more favourable post operative conditions for patients.
Methods
An audit was undertaken of the different techniques being used for anaesthesia (GA alone or GA plus spinal) and the post operative time in recovery, opiate requirement and pain scores.
Results
Still under analysis, but seem to indicate additional of spinal anaesthesia seems to result in less spasm pain in recovery, shorter recovery stay, less opiate use, both in the immediate post op period, and over the next 48 hours.
Conclusion
Addition of spinal may improve post operative conditions for patients undergoing RALP. Results will be fed back to department with the aim of encouraging a change in practice.