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Information Journal Paper

Title

A PROSPECTIVE STUDY COMPARING BLOOD LOSS AFTER SPINAL OR GENERAL ANESTHASIA DURING LAMINECTOMY SURGERY

Pages

  39-46

Abstract

 General and regional anesthesia can be performed successfully for lumbar LAMINECTOMY. The purpose of this study was to evaluate the general or SPINAL ANESTHESIA supplemented with intravenous (IV) propofol to determine whether one method is superior in reducing the blood loss in elective lumbar LAMINECTOMY.58 patients with ASA Class I - III elective surgeries candidate were selected and were divided in two 26 SPINAL ANESTHESIA (SA) and 32 GENERAL ANESTHESIA (GA) groups randomly. Those with excessive obesity and systemic disorders like bleeding disorder were excluded. After using standard monitoring and premedication, anesthesia induction were done for (GA) group and intrathechal injection for (SA) group.All of the information's were analyzed using SPSS program and using T-test and Chi-square. There were no differences in age, sex, SaO2% heart rate (HR), mean arterial pressure (MAP), initiation of operation and duration of anesthesia. Surgical time (89.84±21.12 vs 75.12±11.34 minutes) was longer in the GA group. Blood loss was less in the SA group than in the GA group (148.65±20.89 vs 20656±42.63 ml). Nausea was more common in the GA group both in PACU and 24 hours after surgery.Compared to GA, SA reduced blood loss by sympathetic blockage providing vasodilation, hypotension and more importantly SA permits spontaneous ventilation which results in lower intrathorasic pressure and possibly less destination of the epidural vein. Reduction of bleeding facilitate the surgery and decrease the duration of operation. Considering all the above results, it seems that SPINAL ANESTHESIA supplemented with intravenous (IV) propofol sedation is an effective alternative method compared to GENERAL ANESTHESIA for lumbar spine surgery and has reduced the rate of minor complications.

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    APA: Copy

    LAI DOULAT-ABADI, H., & JALALI, A.R.. (2004). A PROSPECTIVE STUDY COMPARING BLOOD LOSS AFTER SPINAL OR GENERAL ANESTHASIA DURING LAMINECTOMY SURGERY . JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 25(47), 39-46. SID. https://sid.ir/paper/63327/en

    Vancouver: Copy

    LAI DOULAT-ABADI H., JALALI A.R.. A PROSPECTIVE STUDY COMPARING BLOOD LOSS AFTER SPINAL OR GENERAL ANESTHASIA DURING LAMINECTOMY SURGERY . JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2004;25(47):39-46. Available from: https://sid.ir/paper/63327/en

    IEEE: Copy

    H. LAI DOULAT-ABADI, and A.R. JALALI, “A PROSPECTIVE STUDY COMPARING BLOOD LOSS AFTER SPINAL OR GENERAL ANESTHASIA DURING LAMINECTOMY SURGERY ,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 25, no. 47, pp. 39–46, 2004, [Online]. Available: https://sid.ir/paper/63327/en

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    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
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