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General Anesthesia: Overview

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...

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Updated: Dec 5, 2025

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

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Published on: May 9, 2018

Anesthesia concerns in prostate brachytherapy: An institutional experience.

Vinod Kumar¹, Deepti Ahuja¹, Nishkarsh Gupta¹

¹Department of Onco-Anaesthesia and Palliative medicine, Dr. Bhim Rao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Cancer

|October 20, 2020

Summary

Combined spinal epidural (CSE) anesthesia is a safe and effective anesthetic technique for prostate brachytherapy. This method provides good pain control and high patient satisfaction with minimal complications.

Keywords:

Anesthesia technique combined spinal-epidural prostate brachytherapy

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Last Updated: Dec 5, 2025

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Published on: May 9, 2018

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies

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Published on: February 6, 2019

Focal Laser Ablation of Prostate Cancer: An Office Procedure

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Published on: March 30, 2021

Area of Science:

Anesthesiology
Oncology
Urology

Background:

Prostate cancer is a prevalent malignancy in men globally.
Brachytherapy is a standard treatment for prostate cancer.
Optimal anesthetic management for brachytherapy remains undetermined.

Purpose of the Study:

To evaluate the efficacy of combined spinal epidural (CSE) anesthesia for prostate brachytherapy.
To identify the most effective anesthetic technique for perioperative care in these patients.

Main Methods:

Retrospective analysis of 10 patients undergoing 16 brachytherapy sessions.
Anesthesia administered via combined spinal epidural (CSE) technique.
Data analyzed using statistical software (EPI Info 6, SPSS-16).

Main Results:

Median sensory block level T6, motor block grade 2.
Average sensory regression to T10 took 118 minutes.
Low incidence of minor intraoperative complications (2/10 patients).
Postoperative pain (NRS < 4), nausea, vomiting, pruritus, and respiratory depression were minimal.
High patient satisfaction scores (mean 4.4/5).

Conclusions:

Combined spinal epidural (CSE) anesthesia is safe and effective for prostate brachytherapy.
CSE provides adequate anesthesia and analgesia with good patient tolerance.
This technique is suitable for perioperative management of prostate brachytherapy patients.