A prospective randomized study comparing perioperative outcome variables after epidural or general anesthesia for lumbar disc surgery

General and regional anesthesia (spinal and epidural) can be performed successfully for lumbar disc surgery. The aim of this study was to assess the superiority of general anesthesia or epidural anesthesia techniques in lumbar laminectomy and discectomy. Sixty patients undergoing lumbar partial hemilaminectomy and discectomy were randomly divided into two groups receiving standardized general anesthesia (GA) or epidural anesthesia (EA). Demographically, both groups were similar. Surgical onset time (36.72 ± 5.47 vs. 25.40 ± 7.83 minutes) was longer in the EA group, but total anesthesia time (154.32 ± 35.73 vs. 162.40 ± 26.79 minutes) did not differ between the two groups. Surgical time (118.80 ± 35.42 vs. 139.60 ± 26.80 minutes) was longer in the GA group. The heart rate and mean arterial pressure values of the EA group measured 15, 20, and 25 minutes after local anesthetic administration to the epidural catheter were found to be lower than in the GA group measured after induction of general anesthesia. The frequency of bradycardia (EA vs. GA, 3 vs. 2), tachycardia (3 vs. 7), and hypotension (6 vs. 4) during anesthesia did not differ between the groups, but the occurrence of hypertension (1 vs. 7) was higher in the GA group. Blood loss was less in the EA group than in the GA group (180.40 ± 70.38 vs. 288.60 ± 112.51 mL). Postanesthesia care unit (PACU) heart rate and mean arterial pressure were higher in the GA group. Peak pain scores in PACU and postoperative 24 hours were higher in the GA group when compared with the EA group. Nausea was more common in the GA group both in PACU and 24 hours after surgery. There was no difference between the hospitalization duration of the groups. In conclusion, this study suggests that EA is an important alternative to GA during lumbar disc surgery.

Yazar Demirel C.B.
Kalayci M.
Ozkocak I.
Altunkaya H.
Ozer Y.
Acikgoz B.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/4019
Tek Biçim Adres 10.1097/00008506-200307000-00005
Konu Başlıkları Discectomy
Epidural anesthesia
General anesthesia
Laminectomy
Neurosurgery
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Journal of Neurosurgical Anesthesiology
Dergi Cilt Bilgisi 15
Dergi Sayısı 3
Sayfalar 185 - 192
Yayın Yılı 2003
Eser Adı
[dc.title]
A prospective randomized study comparing perioperative outcome variables after epidural or general anesthesia for lumbar disc surgery
Yazar
[dc.contributor.author]
Demirel C.B.
Yazar
[dc.contributor.author]
Kalayci M.
Yazar
[dc.contributor.author]
Ozkocak I.
Yazar
[dc.contributor.author]
Altunkaya H.
Yazar
[dc.contributor.author]
Ozer Y.
Yazar
[dc.contributor.author]
Acikgoz B.
Yayın Yılı
[dc.date.issued]
2003
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
General and regional anesthesia (spinal and epidural) can be performed successfully for lumbar disc surgery. The aim of this study was to assess the superiority of general anesthesia or epidural anesthesia techniques in lumbar laminectomy and discectomy. Sixty patients undergoing lumbar partial hemilaminectomy and discectomy were randomly divided into two groups receiving standardized general anesthesia (GA) or epidural anesthesia (EA). Demographically, both groups were similar. Surgical onset time (36.72 ± 5.47 vs. 25.40 ± 7.83 minutes) was longer in the EA group, but total anesthesia time (154.32 ± 35.73 vs. 162.40 ± 26.79 minutes) did not differ between the two groups. Surgical time (118.80 ± 35.42 vs. 139.60 ± 26.80 minutes) was longer in the GA group. The heart rate and mean arterial pressure values of the EA group measured 15, 20, and 25 minutes after local anesthetic administration to the epidural catheter were found to be lower than in the GA group measured after induction of general anesthesia. The frequency of bradycardia (EA vs. GA, 3 vs. 2), tachycardia (3 vs. 7), and hypotension (6 vs. 4) during anesthesia did not differ between the groups, but the occurrence of hypertension (1 vs. 7) was higher in the GA group. Blood loss was less in the EA group than in the GA group (180.40 ± 70.38 vs. 288.60 ± 112.51 mL). Postanesthesia care unit (PACU) heart rate and mean arterial pressure were higher in the GA group. Peak pain scores in PACU and postoperative 24 hours were higher in the GA group when compared with the EA group. Nausea was more common in the GA group both in PACU and 24 hours after surgery. There was no difference between the hospitalization duration of the groups. In conclusion, this study suggests that EA is an important alternative to GA during lumbar disc surgery.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Discectomy
Konu Başlıkları
[dc.subject]
Epidural anesthesia
Konu Başlıkları
[dc.subject]
General anesthesia
Konu Başlıkları
[dc.subject]
Laminectomy
Konu Başlıkları
[dc.subject]
Neurosurgery
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0898-4921
İlk Sayfa Sayısı
[dc.identifier.startpage]
185
Son Sayfa Sayısı
[dc.identifier.endpage]
192
Dergi Adı
[dc.relation.journal]
Journal of Neurosurgical Anesthesiology
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
15
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1097/00008506-200307000-00005
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4019
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
17
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 09:37
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Tıklayınız
anesthesia groups lumbar epidural between general minutes) higher surgery arterial during measured longer pressure differ Surgical discectomy suggests conclusion duration hospitalization hypertension occurrence hypotension important tachycardia alternative difference compared (PACU) postoperative Postanesthesia Nausea common scores
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