Intraoperative Comparison between Spinal and General Anaesthesia for Lumbar Laminectomy Regarding Effectiveness and Hemodynamic Stability in Karbala
Kerbala Journal of Medicine,
Volume 9, Issue 1, Pages 2324-2329
Abstractbackground: General anaestheia is the most frequently used method For spinal surgery. Neuraxial blocks have proved most useful in lower abdominal, inguinal, urogenital, rectal, and lower extremity surgery. Lumbar spinal surgery may also be performed under spinal anaestheia.
Aim: To assess the notion that spinal anaestheia can be both safe and effective in the treatment of patients undergoing lumbar spinal surgeries.
Methods: The study was performed in Al-Imam Al-Hussein medical city, Karbala, Iraq from April 2010 to April 2014, 60 patients in whom either spinal anaestheia SA or general anaestheia GA was induced to perform a lumbar laminectomy. Patients were matched for anaestheia-related class, age, gender and preoperative vital sign. Thirty patients in each group both groups were well matched.
Results: The heart rate (HR) and blood pressure (NIBP) was higher in SA during induction, but they were higher in GA during surgery and recovery time. Recovery time was longer in GA group, patient and surgeon were more satisfy with GA p-value <0.05.
Conclusion: Spinal anaestheia is a suitable alternative to general anaestheia for lumbar disc surgery, but need cooperative patient.
Recommendation: Spinal anaestheia for spinal surgery is good choice for cooperative patient it’s better to avoid if surgical time might be prolonged or in risky patient.
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