TY  - JOUR
TI  - General Anesthesia versus Sedation in Multi Parametric
Magnetic Resonance Imaging (mpMRI) Transrectal
Ultrasound Guided (TRUS) Fusion Targeted Prostate Biopsy:
A Prospective, Randomized Study
AB  - Objectives: Different anesthetic methods have been used in multi-parametric magnetic resonance imaging-guided
(mpMRI) transrectal ultrasound guidance (TRUS) fusion-targeted prostate biopsy, but the consensus on the optimal
anesthetic approach is not clear. In this study, the anesthesia management, procedural conditions, intraoperative adverse
events, complications, discharge criteria, and cancer detection rates of general anesthesia and sedation were
compared.
Methods: Participants were randomly divided into general anesthesia (GA) and sedation (S) groups. The primary endpoint
of the study was the surgical satisfaction score. The incidence of hypoxia, patient satisfaction, cancer detection
rate, anesthetic agent consumption, recovery and hospitalization times, and complication rates were all compared as
secondary outcomes.
Results: There was no significant difference in the incidence of hypoxemia in both groups (Group G:0, Group S:2
patients, p=0.494). While there was no significant difference in surgical satisfaction scores (Group GA: 9.48 vs Group S:
9.23, p=0.353). PC detection rates (p=0.809) and complication rates were similar.
Conclusion: With similar surgical conditions, complication incidence, and cancer detection rates, neither anesthesia
approach did not provide surgical superiority over the other. The sedation approach, combined with careful monitoring
of anesthesia depth, prevented hypoxemia, reduced anesthetic agent consumption, and allowed for faster recovery
and discharge, allowing for ambulatory anesthesia.
AU  - UYSAL, HARUN
AU  - Koc, Suna
DO  - 10.14744/ejmi.2022.34337
PY  - 2022
JO  - Eurasian Journal of Medical Investigation
VL  - 6
IS  - 2
SN  - 2602-3164
SP  - 157
EP  - 164
DB  - TRDizin
UR  - http://search/yayin/detay/534068
ER  -