DOI: 10.36347/sjams.2020.v08i02.027

Pages: 491-494

Introduction: Prostate tumors are a pathology of the elderly and are commonly seen in our anesthetic practice. The anesthetic evolution in recent years is marked inter alia by the use of short-acting anesthetics and the use of new airway control devices and hemodynamics. Objectives: To present the data on anesthesia for prostate surgery, to study the risks specific to this surgery, the choice of an appropriate anesthetic scheme and to take care of specific perioperative complications. Results: Sixty-four patients had been operated on. The average age was 68.4 years old. Patients were most often 65 years old and over. Benign prostatic hyperplasia was the main diagnosis and was found in 89.1% of patients. The pre-anesthetic visit made it possible to search the medical and surgical history. Coagulation disorders were a contraindication to the intervention. The patients were all treated until complete healing before the procedure. All patients have systematically benefited from an electrocardiogram. Nearly a quarter of patients (24.6%) had an echocardiography. More than half (62.5%) had an ASA score of 2. All patients had systematically received Ceftriaxone-based antiprophylaxis at a dose of 2g. Spinal anesthesia was the only one performed. Complications occurred in 12 patients or 14.06%. Multimodal analgesia based on paracetamol and tramadol was systematic. No patient has benefited from thromboembolic prevention. The evolution was favorable for all patients. Conclusion: Perioperative anesthetic management is an important step in prostate surgery. The anesthetic evolution in recent years is marked by the use of short-acting anesthetics and the use of new airway control and hemodynamic devices.