Management of perianesthesia in benign prostate hyperplasia patients with transvesica prostatectomy and uncontrolled hypertension: a case report

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Made Suandika, Valentina Intan Ayu Puspita, Tin Utami

2025 BIO Web of Conferences Vol. 152 Conference paper Cited by 0 Quartile

Abstract

The prevalence of Benign Prostate Hyperplasia (BPH) increases at the age of 40 years to 90 years. Anaesthesia in elderly patients with comorbidities can be difficult for anaesthesiologist. The minimum dose option is used to minimize the occurrence of myocardial depression and other complications. In this paper, we describe the management of anaesthesia for Transvesica Prostatectomy (TVP) surgery for elderly patients with BPH accompanied by uncontrolled hypertension. The method used in this research is a case study with data collection techniques through observation, interviews, and looking at the results of examining related data. The research subjeck was a male patient with a diagnosis BPH who underwent TVP. The result and conclusion of this study refer to the collaborative use of Subarachnoid Block (SAB) or spinal anesthesia induction drugs (Bupivacaine and Fentanyl) with consideration of the minimum dose due to patient's advanced age and minimizing the occurrence of morbidity and mortality. The intervention given regarding anesthesia health problems which was carried out by providing anesthesia nursing care during the perioperative phase showed good results and without complications that disrupted the patient's future life. © The Authors, published by EDP Sciences.

Affiliations

Anesthesiology Nursing Study Program, Faculty of Health, Universitas Harapan Bangsa, Indonesia; The Graduate Institute of Clinical Medicine Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Nursing Program Study, Faculty of Health, Universitas Harapan Bangsa, Indonesia

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