General anaesthesia versus combined spinal plus general anaesthesia for elective lumbar spine surgeries: A randomized comparative study
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 1
Abstract
Background: Lumbar spine surgeries are most commonly performed under general anaesthesia. It allows better patient satisfaction and prolong surgeries but can be accompanied by several perioperative morbidities. Spinal anaesthesiain such cases gives excellent patient compliance and good surgical exposure with bloodless field. Aim: To compare the intra-operative variables and post-operative outcome after general anaesthesia versus combined spinal plus general anaesthesia in patients undergoing elective lumbar spine surgery. Material and Methods: A total of 60 adult cases from both sexes were randomly grouped into group A (received general anaesthesia) and group B (received spinal, Heavy 0.5%Bupivacaine plus Clonidine 30 μg, plus general anaesthesia). Results: Hemodynamics (mean pulse rate, systolic and diastolic blood pressure) at time of intubation (0min.), intraoperatively (10, 20, 30, 60, 90, 120 min.) and postoperatively (150, 180 min.) were significantly stable in Group B than Group A (p<0.05). Surgeon's satisfaction was higher in Group B than Group A. None of patients in both groups had bradycardia. In group A, 2 out of 30 patients had vomiting and there was no incidence of vomiting in group B. In group B 3 out of 30 patients had urinary retention while there was no incidence of urinary retention group A.Group A had post-operative analgesia 41.17±11.27 minutes and in Group B it was 396.16±47.80 minutes (p<0.05). The need of rescue analgesics was more in Group A than in Group B. Conclusion: Considering hemodynamic stability, profound and prolonged pain relief, significant decrease in blood loss, duration of surgery and need of anaesthetic agents with spinal anaesthesia and securing airway with general anaesthesia, combined spinal anaesthesia with general anaesthesia is safe and better technique than general anaesthesia alone for elective lumbar spine surgeries.
Authors and Affiliations
Gutte Shreyas Hanumant, Kamat Shriganesh Dayanand, Agrawal Pushpa
Keywords
Related Articles
- EP ID EP260997
- DOI -
- Views 142
- Downloads 0
Comparison of efficacy of different concentration of bupivacaine in ultrasoundguided transversus abdominis plane (TAP) block for postoperative pain relief in lower segment cesarean section
Women undergoing cesarean delivery present distinctive set of challenges to the anaesthesiologist in the immediate postoperative period. These women want to be alert and mobile in the postoperative period to care for the...
Efficacy and safety of bupivacaine instillation through surgical drain in modified radical mastectomy
Background and Aims: modified radical mastectomy (MRM) is the commonly used surgical procedure for operable breast cancer.it involve extensive tissue dissection and infiltration may not have adequate post-operative analg...
Role of oral clonidine premedication for decreasing intra-operative bleeding with respect to scoring system at tertiary health care centre
Background: Functional Endoscopic Sinus Surgery (FESS) is gaining popularity over past two decades as it is helpful in restoring the drainage and aeration of paranasal sinuses, while maintaining the natural mucociliary c...
A study of LMA versus tracheal tube for tonsillectomy surgeries at tertiary health care center
Background: worldwide WHO estimated that over 600 million people with a case of symptoms of tonsillitis occur annually i.e. 30% of world populations are effected by symptoms of tonsillitis In India it is estimated that a...
Comparative study of epidural bupivacaine 0.125% and combination of epidural bupivacaine with clonidine 2µg/kg for postoperative analgesia
Background and Objectives: Epidural analgesia offers superior post operative pain relief compared with systemic drugs. In addition to improved pain control, epidural analgesia canimprove patient outcome by attenuating de...