26 Preoperative hypertension is a common problem encountered by anesthesiologists, surgeons, internists, and there are some investigations confirming the relation between

preoperative hypertension and pain or bleeding.27-29 Basali et al.28 examined the relation between preoperative blood pressure elevation and postoperative intracerebral hemorrhages using a retrospective case control design. Preoperative, intraoperative, and postoperative (up to 12 hours) blood pressure records were examined. It was revealed that acute blood pressure elevations occur frequently prior to post craniotomy intracranial hemorrhage. Inhibitors,research,lifescience,medical Patients, who develop post craniotomy intracranial hemorrhage are more likely to be hypertensive in the intraoperative and early postoperative periods. These findings explain and confirm higher postoperative bleeding and transfusion rates in the control group in our study. Patients in the experimental group showed more extended period of sensory block and Inhibitors,research,lifescience,medical analgesia as

well as minimal increases of blood pressure and heart rate in recovery period compared to patients in the control group (tables 2-​-44). In another study the incidence and etiology of postoperative intracerebral hemorrhages were examined.29 Major etiologies underlying postoperative intracerebral Inhibitors,research,lifescience,medical hemorrhages were uncontrolled bleeding from a blind area, difficult dissection of a tumor from the brain, retraction injury, vessel injury from a needle, bleeding from a residual tumor. Hypertension during recovery from anesthesia was another important factor. Arterial supply to prostate is derived mainly from branches of the internal Inhibitors,research,lifescience,medical iliac (hypogastric) artery, the inferior vesicle and middle http://www.selleckchem.com/products/Etopophos.html rectal arteries.29,30 Bleeding during open prostatectomy arises from venous structure in majority of cases.30,31 Although there are limited Inhibitors,research,lifescience,medical investigations to find risk factor of bleeding as one of the most common early complication of open prostatectomy, no literature was found on the effect of BP changes in immediately post operative period.2,31,32

It seems that in patients of the control group EBL had a significant relationship with BP increase immediately in post-operative period. Moreover, it seems to have an association with hemoglobin decrease immediately in postoperative however period. It is assumed that in the control group, pain can stimulate sympathetic nervous system, and causes an increase in BP. Perhaps this unwanted increase of BP is due to pain in immediately postoperative period, which induces the vein to bleed. Conclusion The findings of this study indicate that adding 0.4 mg/kg meperidine to heavy intrathecal lidocaine has no effect on the hemodynamic stability during surgery. The advantage of such an addition is a long time postoperative analgesia with less BP rise in immediately postoperative period and the reduction of postoperative bleeding.