Summary
Sedoanalgesia is a new technique as applied to urological surgery; it provides a safe, preferable and cost-effective alternative to general anaesthesia. Combining sedation (using midazolam) with adequate local anaesthesia, it renders patients amenable to an extensive range of procedures, both endoscopic and open. A wide margin of safety independent of patient age or level of fitness is achieved. Details of the technique as well as its applications and implications for urological practice are outlined.
Similar content being viewed by others
References
Birch BRP, Miller RA (1988) Safety of midazolam. Lancet II:683
Birch BRP, Anson KM, Gelister J, Parker C, Bell J, Little S, Miller RA (1989) The role of midazolam and flumazenil in urology. Acta Anaesthesiol Scand (in press)
Clarke GA, Power KJ (1988) Spinal anaesthesia for day case surgery. Ann R Coll Surg Engl 70:144–146
Fowler CG (1984) Fibrescopic urethrocystoscopy. Br J Urol 56:304–307
Hanno PM, Wein AJ (1983) Anaesthetic techniques for cystoscopy in men. J Urol 130:1070–1072
Hunkeler W, Mohler H, Pieri L, Polc P, Bonetti EP, Cumin R, Schaffner R, Haefly W (1981) Selective antagonists of the benzodiazepines. Nature 290:514–516
Miller RA, Coptcoat MJ, Parry J, Dawkins G, Wickham JEA (1987) The integrated cystoscope, an, alternative to conventional and fibreoptic cystoscopy. Br J Urol 60:128–131
Miller RA, Gelister J, Lei C, Parker C, Anson K, Grant D, Birch BRP (1989) Minimally invasive surgery of the prostate. World J Urol (in press)
Operational Research, Planning and Implementation Directorate (1988) Analysis of day case work, Report 23. North East Thames Regional Health Authority, London
Rassam S, Thomas HF (1989) Local anaesthesia for cataract surgery. Lancet I:110–111
Rodrigo MC, Clark RNW (1986) A study of intravenous sedation with diazepam and Midazolam for dentistry in Hong Kong Chinese. Anaesth Intensive Care 14:404–411
Royal College of Surgeons of England (1985) Commissions on the Provision of Surgical Services. Guidelines for day case surgery. Royal College of Surgeons of England, London
Silver GA (1989) Scarcity of nurses. Lancet I:607
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Birch, B.R.P., Anson, K.M., Gelister, J. et al. Sedoanalgesia in urology: Technique, applications and impact. World J Urol 7, 162–165 (1989). https://doi.org/10.1007/BF01637376
Issue Date:
DOI: https://doi.org/10.1007/BF01637376