Is invasive anesthetic monitoring necessary, during radical prostatectomy?

D. N. Ead, Michael Koch, J. A. Smith

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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 cm3 (median 500 cm3). 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.

Original languageEnglish (US)
Pages (from-to)282-284
Number of pages3
JournalProstate Cancer and Prostatic Diseases
Volume2
Issue number5-6
StatePublished - 1999
Externally publishedYes

Fingerprint

Prostatectomy
Anesthetics
Vascular Access Devices
Central Venous Catheters
Cardiac Arrhythmias
Blood Pressure
Ventricular Premature Complexes
Vital Signs
Lidocaine
Outcome Assessment (Health Care)
Hypertension
Morbidity
Equipment and Supplies
Therapeutics

Keywords

  • Anesthesia
  • Prostate cancer
  • Radical prostatectomy

ASJC Scopus subject areas

  • Oncology
  • Urology

Cite this

Is invasive anesthetic monitoring necessary, during radical prostatectomy? / Ead, D. N.; Koch, Michael; Smith, J. A.

In: Prostate Cancer and Prostatic Diseases, Vol. 2, No. 5-6, 1999, p. 282-284.

Research output: Contribution to journalArticle

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