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Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgery
Affiliations- Department of Anesthesiology and Reanimation, Ulus State Hospital, Ankara, Türkiye
- Department of Anesthesiology and Reanimation, Ankara Ataturk Training and Research Hospital, Ankara, Türkiye
- Department of Anesthesiology and Reanimation, Ankara Numune Training and Research Hospital, Ankara, Türkiye
- Department of Anesthesiology and Reanimation, Ataturk Pulmonology Training and Research Hospital, Ankara, Türkiye
- Department of Neurosurgery, Diskapi Training and Research Hospital, Ankara, Türkiye
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Abstract
General anesthesia (GA) is the most commonly used anesthetic technique for spinal surgery. This study aimed to compare spinal anesthesia (SA) and GA in patients undergoing spinal surgery, in terms of perioperative outcome and cost effectiveness.
Materials and methodsThe study included 80 patients with ASA (American Society of Anesthesiologists) physical status I–II. The patients were randomized to receive SA (n=40) or GA (n=40). Heart rate (HR), mean arterial blood pressure (MABP), blood loss, duration of surgery, duration of anesthesia, surgeon satisfaction, and duration in the post-anesthesia care unit (PACU) were recorded. Postoperative analgesic requirement, nausea and vomiting (PONV), perioperative hemodynamic variables, and anesthetic costs were determined.
ResultsHR and MABP were significantly higher in the GA group than in the SA group at the end of surgery and at PACU admission. Duration of anesthesia, surgeon satisfaction, postoperative analgesic requirement, and anesthetic costs were significantly higher in the GA group. Mean blood loss was lower in the SA group than in the GA group, but the difference was not significant. Duration of surgery, duration in the PACU, perioperative hemodynamic variables, and complications were similar in both groups.
ConclusionsSA could be considered a reliable alternative to GA in patients undergoing lumber spine surgery, as it is clinically as effective as GA, but more cost effective.
Abstract
General anesthesia (GA) is the most commonly used anesthetic technique for spinal surgery. This study aimed to compare spinal anesthesia (SA) and GA in patients undergoing spinal surgery, in terms of perioperative outcome and cost effectiveness.
Materials and methodsThe study included 80 patients with ASA (American Society of Anesthesiologists) physical status I–II. The patients were randomized to receive SA (n=40) or GA (n=40). Heart rate (HR), mean arterial blood pressure (MABP), blood loss, duration of surgery, duration of anesthesia, surgeon satisfaction, and duration in the post-anesthesia care unit (PACU) were recorded. Postoperative analgesic requirement, nausea and vomiting (PONV), perioperative hemodynamic variables, and anesthetic costs were determined.
ResultsHR and MABP were significantly higher in the GA group than in the SA group at the end of surgery and at PACU admission. Duration of anesthesia, surgeon satisfaction, postoperative analgesic requirement, and anesthetic costs were significantly higher in the GA group. Mean blood loss was lower in the SA group than in the GA group, but the difference was not significant. Duration of surgery, duration in the PACU, perioperative hemodynamic variables, and complications were similar in both groups.
ConclusionsSA could be considered a reliable alternative to GA in patients undergoing lumber spine surgery, as it is clinically as effective as GA, but more cost effective.
Keywords
Anesthesia, General, Spinal, Spine surgery, Costs
About this articleTitle
Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgery
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
167-173
Page views
515
Article views/downloads
564
DOI
10.1016/j.pjnns.2014.05.005
Bibliographic record
Neurol Neurochir Pol 2014;48(3):167-173.
Keywords
Anesthesia
General
Spinal
Spine surgery
Costs
Authors
Kadriye Kahveci
Cihan Doger
Dilsen Ornek
Derya Gokcinar
Semih Aydemir
Rafet Ozay
