For a 78 yr old man for trans urethral resection of prostate, ideal anesthetic method is spinal anesthesia, this is because
TURP syndrome may occur at any time perioperatively and has been observed as early as few minutes after surgery has staed and as late as several hours after surgery has been completed. When under regional anesthesia, the patient characteristically complains of Dizziness Headache Nausea Tight feeling in the chest and throat Shoness of breath Restlessness Confusion Retching Abdominal paint thus regional anaesthesia is preferred.
General anesthesia causes more bleeding than spinal
Signs of hyponatremia can easily be detected under spinal
Spinal anesthesia abolishes the obturator nerve stimulation by electro cautery
Obstructive uropathy and renal failure may be associated with prostatic enlargement
Central Neuraxial Blockade