Sedoanalgesia for Day Case Urological Procedures - A view

Abstract

A prospective study was undertaken to evaluate the efficacy of sedoanalgesia in 56 patietns undergoing various urological procedures as diagnostic cystoscopy, bladder biopsy, ureteral retrograde catheterization and uretheral dialation. Sdeoanalgesia was administered by giving, intravenous midazolam, intramuscular diclofenac sodium , xylocaine gel 2% as topical anesthetic. The efficacy of sedoanlagesia technique was evaluated by measuring the pain score determinijng the prevalence and duration of amnesia during the procedure and by measuring haemoglobin oxygen saturation using pulse oximetry. the result of this study proved that diagnostic cystoscopies in all groups and in both sexes were uneventful, however with urethral dilatation, results were less satsifactory and further studies are needed possibly using low dose ketamine of propofol along with Midazolam.