Vergleich der Motorblockade zwischen Ropivacain 0,75 % und Prilocain 1 % bei der direkten Obturatoriusblockade zur transurethralen Blasentumorresektion - ein neuer Ansatz zur Bewertung des Motorblocks mit der MRC-Skala

Abstract

Ropivacaine 0.75 % is a more appropriate agent for direct obturator nerve block than prilocaine 1 %, providing a faster onset and a more intense and longer-lasting motor blockade. This may reduce surgical complications and facilitate early surgical re-intervention. In this study, MRC-scale was appropriate for motor blockade assessment in a peripheral nerve block.

A Systematic Review and Meta-Analysis Comparing the Safety and Efficacy of Spinal Anesthesia and Spinal Anesthesia Combined with Obturator Nerve Block in Transurethral Resection of Bladder Tumors

“…Ultrasound-guided obturator nerve block can reduce intraoperative obturator nerve reflex, make the operation more calm and accurate, do not have to worry about obturator nerve reflex and reduce the extent and depth of resection and electrocautery, which is also conducive to reducing intraoperative blood loss, preventing the occurrence of bladder perforation, and also reducing the obstacles of electrocoagulation hemostasis, so that hemostasis is more sufficient, which helps to shorten the postoperative hospital stay of patients [ 23 ]. In addition, when bladder tumor resection is performed, because the surgeon is excessively worried about the occurrence of obturator nerve reflex, it may lead to incomplete tumor resection, which leads to tumor recurrence, while obturator nerve block can reduce tumor recurrence [ 24 ].…”