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:: Scientific Journal of Kurdistan University of Medical Sciences- NO 4, 2022 ::
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Comparison of Complications of Epidural Anesthesia with General Anesthesia in Patients with Thoracolumbar Spine Surgery
Mohammad Azad Majedi 1, Behzad Ahsan2 , Seyed Masoud Mousavijam2 , Zana Ramezani2 , Khaled Rahmani2
1- Kurdistan University of Medical Sciences , aa136020062007@yahoo.com
2- Kurdistan University of Medical Sciences
Abstract:   (145 Views)
Introduction: General anesthesia (GA) is commonly used for spine surgery but it can be performed under regional anesthesia. The advantages of regional anesthesia (RA) for lumbar spine surgery, as compared with GA, is under discussion and controversy still exists with regard to the optimum choice of anesthesia for spine surgery. The aim of this study was to determine the impact of the type of anesthesia on intraoperative events, incidence of postoperative complications, and recovery time of patients undergoing spine surgery.
 
 
Method: In this prospective comparative study, 80 patients in ASA 1 and 2 who were referred for to the operating room of Kwosar Hospital in Sanandaj for spinal and lower thoracic surgery, were examined. After randomly dividing patients into two equal groups, general anesthesia or epidural anesthesia was performed in the same manner in patients of each group. Demographic characteristics, vital signs, severity of pain, agitation, urinary retention, nausea and vomiting, number of times the need for analgesia, the time of request for the first dose of analgesia, the time to start walking and the time of discharge from the hospital were recorded in patients in both groups. Data were analyzed using SPSS software version 23 and using average statistical test and standard deviation, independent t test and chi-square test.
 
 
Results: There was no significant difference between the two study groups in terms of gender, age, type of surgery (P <0.05). The severity of pain based on the VAS scale at 2, 4, and 6 hours after surgery in the general group was higher than in the epidural group (P <0.05), so that the highest average score of pain intensity in the general group was in the second hour after surgery (6.8). RASS-based restlessness was also higher in the general group at 2 and 4 hours after surgery than in the epidural group (P <0.05). The incidence of nausea and vomiting was higher in recovery in the general group (P <0.05). Also, the time required to apply for the first housing in the General Group was shorter. The incidence of urinary retention, the time to start walking, and hospital discharge were not significantly different between the two study groups (P <0.05).
 
Conclusion: Based on our results, epidural anesthesia appears to be a suitable alternative to general anesthesia with fewer complications in spinal surgery.
Keywords: General anesthesia, Epidural anesthesia, Spinal surgery, Thoracolumbar surgery, Complications.
     
Type of Study: Original Research | Subject: Medicine - Anesthesia
Received: 2020/05/6 | Accepted: 2021/11/14
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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