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Information Journal Paper

Title

Comparison of Complications of Epidural Anesthesia with General Anesthesia in Patients with Thoracolumbar Spine Surgery

Pages

  65-78

Abstract

 Background and Aim: General anesthesia (GA) is commonly used for spine surgery but this operation can be performed under regional anesthesia. The advantages of regional anesthesia (RA), as compared to GA in regard to the optimum choice of anesthesia for spine surgery have been a matter of controversy. The aim of this study was to compare GA with RA in regard to the intraoperative events, incidence of postoperative Complications, and the recovery time in the patients undergoing spine surgery. Material and Methods: This prospective comparative study included 80 patients in ASA 1 and 2 who had referred to Kwosar Hospital in Sanandaj for spinal and lower thoracic surgery. After random allocation of the patients into two equal groups, General anesthesia or Epidural anesthesia was adminstered in the same manner to the patients of each group. Demographic characteristics, vital signs, the severity of pain, agitation, urinary retention, nausea, and vomiting, number of times needed to administer analgesics, 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 the patients ׳,records. Using SPSS software version 23, data were analyzed by average statistical test, standard deviation, independent ttest, and chi-square test. Results: There was no significant differences between the two groups in terms of gender, age, and type of surgery (P >0. 05). The severity scores of pain based on the VAS scale at 2, 4, and 6 hours after surgery in the GA group were higher than those in the epidural group (P <0. 05). The highest average score of pain intensity in the GA group was in the second hour after surgery (8. 6). RASS-based restlessness scores were also higher in the GA group at the 2nd and 4th hours after surgery than in the epidural group (P <0. 05). The incidence rates of nausea and vomiting were higher during recovery time in the GA group (P <0. 05). Also, the time to first analgesic request in the GA Group was shorter. The incidence of urinary retention, the time to start walking, and hospital discharge were not significantly different between the two groups (P <0. 05). Conclusion: Based on our results, use of Epidural anesthesia seems to be a suitable alternative to General anesthesia with fewer Complications for Spinal surgery.

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    APA: Copy

    AHSAN, BEHZAD, AZAD MAJEDI, MOHAMMAD, Mousavi Jam, Seyed Masoud, RAHMANI, KHALED, & RAMEZANI, ZANA. (2022). Comparison of Complications of Epidural Anesthesia with General Anesthesia in Patients with Thoracolumbar Spine Surgery. SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES, 27(4 (121) ), 65-78. SID. https://sid.ir/paper/1084503/en

    Vancouver: Copy

    AHSAN BEHZAD, AZAD MAJEDI MOHAMMAD, Mousavi Jam Seyed Masoud, RAHMANI KHALED, RAMEZANI ZANA. Comparison of Complications of Epidural Anesthesia with General Anesthesia in Patients with Thoracolumbar Spine Surgery. SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2022;27(4 (121) ):65-78. Available from: https://sid.ir/paper/1084503/en

    IEEE: Copy

    BEHZAD AHSAN, MOHAMMAD AZAD MAJEDI, Seyed Masoud Mousavi Jam, KHALED RAHMANI, and ZANA RAMEZANI, “Comparison of Complications of Epidural Anesthesia with General Anesthesia in Patients with Thoracolumbar Spine Surgery,” SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES, vol. 27, no. 4 (121) , pp. 65–78, 2022, [Online]. Available: https://sid.ir/paper/1084503/en

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