Total intravenous general anesthesia with laryngeal mask airway for transurethral resection of bladder tumor

ObjectiveTo observe the advantage of total intravenous anesthesia for transurethral resection of bladder tumor (TURBT).MethodsSixty ASA I-II patients undergoing TURBT were randomly assigned to 2 groups. Spinal anesthesia with 0.75% pure bupivacaine (8–12 mg) was applied to patients in Group I (n = 30). Patients in Group II (n = 30) received total intravenous anesthesia with continuous infusion of Propofol and Remifentanil; and a laryngeal mask was used to ensure the airway and ventilation. BP, HR, SPO2 and pertinent side effects were monitored and recorded.ResultsThe patients in group II experienced more stable hemodynamics than those in group I. Obturator nerve reflex was observed in 15 (50.0%) patients in Group I, but none (0%) in Group II (P < 0.01).ConclusionTotal intravenous anesthesia with laryngeal mask is a safe, reliable, controllable and simple manual for patient undergoing TURBT.