open access

Vol 48, No 3 (2014)
Original research articles
Submitted: 2014-03-08
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Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgery

Kadriye Kahveci, Cihan Doger, Dilsen Ornek, Derya Gokcinar, Semih Aydemir, Rafet Ozay
DOI: 10.1016/j.pjnns.2014.05.005
·
Neurol Neurochir Pol 2014;48(3):167-173.

open access

Vol 48, No 3 (2014)
Original research articles
Submitted: 2014-03-08

Abstract

Background and aim

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 methods

The 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.

Results

HR 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.

Conclusions

SA 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

Background and aim

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 methods

The 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.

Results

HR 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.

Conclusions

SA 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.

Get Citation

Keywords

Anesthesia, General, Spinal, Spine surgery, Costs

About this article
Title

Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgery

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 48, No 3 (2014)

Pages

167-173

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

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