Journal
SURGICAL NEUROLOGY
Volume 71, Issue 1, Pages 60-65Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.surneu.2008.08.003
Keywords
General anesthesia; Lumbar disk surgery; Spinal anesthesia; Visual analog scale
Categories
Funding
- Research and Development Center of Sina Hospital
Ask authors/readers for more resources
Background: General anesthesia and regional anesthesia have both been shown to be Suitable techniques for patients undergoing lower thoracic and lumbar spine surgery; however, GA is the most frequently used method. The purpose of this study was to conduct all acceptable RCT to compare the intraoperative parameters and postoperative outcome after SA and GA in patients undergoing elective lumbar disk surgery. Methods: patients undergoing laminectomy for herniated lumbar disk during the years 2005 and 2007 were enrolled. They were randomly selected to undergo GA and SA. The variables recorded during the Operation were the patients' HR, MAP, amount of blood loss. and surgeons' satisfaction with the operating conditions. The severity of pain, nausea, vomiting, and length of stay in the hospital were recorded in the postoperative Course. Results: The mean blood loss was less in the group undergoing GA; however, the difference was not statistically significant. The surgeon's satisfaction was reported to be higher in the GA group. No major intraoperative complication was reported in either series. During the recovery period, hypertension was reported to happen more frequently ill the Patients undergoing GA; and postoperative nausea and vomiting were more frequent among patients recovering from SA. Conclusion: Contrary to previous studies, the findings of the present study revealed that SA has no advantages over GA. Moreover, it was showed that GA call reduce the related risks and complications in several aspects. (C) 2009 Elsevier Inc. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available