Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
This study aimed to examine the impact of epidural anaesthesia (EA) compared to general anaesthesia (GA) in individuals undergoing lower lumbar spine surgeries. Lumbar spine surgeries can be conducted under either GA or regional anaesthesia. GA, commonly employed in lumbar spine surgery, immobilizes the patient during the procedure and ensures a secure airway. Although EA is linked to improved hemodynamic status, reduced operation duration, lower healthcare costs and a decreased incidence of surgical complications compared to GA, there remains controversy around optimal anaesthesia choice. The study enrolled 123 consecutive patients undergoing lower lumbar surgery with either EA or GA, Age, gender, medical conditions, surgical time, operation procedure, blood loss, intraoperative hypertension, tachycardia and the occurrence of nausea, vomiting, delirium or cardiopulmonary complications were recorded. Postoperative pain and satisfaction were also assessed. A total of 89 patients were included, with 58 undergoing GA and 65 undergoing EA. The incidence of hypertension and tachycardia during anesthesia was significantly higher in the GA group compared to EA. Patients receiving EA experienced significantly less delirium, nausea and vomiting. Visual Analog Scale scores were significantly higher in the GA group postsurgery. Patients who underwent EA reported higher satisfaction levels than those with GA. A correlation was observed between the administration of EA and superior perioperative outcomes. However, certain considerations, including airway security, operation duration and obesity, require careful evaluation. Additionally the retrospective nature of this study introduces the possibility of selection bias, potentially influencing the results. Epidural anaesthesia, general anaesthesia, surgery, elderly.
How to cite this article:
Kamlesh Agarwal, Sarfraj Ahmad, Kansoo Ram and Akash Gupta. Epidural Anaesthesia vs. General Anaesthesia for Surgical Procedures: An Outcome Assessment
Study From a Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.12.448.452
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.12.448.452