Volume : X, Issue : VIII, August - 2020

OUTCOME OF PCNL UNDER SPINAL ANAESTHESIA IN RURAL TEACHING HOSPITAL - A RETROSPECTIVE STUDY

Dr Ramesh, Dr K. Mohan, Dr G Monisha

Abstract :

Background: Percutaneous nephrolithotomy(PCNL) has become the mainstay of treatment for renal–calculi over the past 40years,the practice of which has been defined and redefined over–time.GA had been the anaesthesia of choice for decades,but now,SA has proven its efficacy for the same.In this study of ours,we compare the feasibility of SA over GA for PCNL. Methods: A retrospective study was done with 60 patients who underwent PCNL.They were divided into 2 groups:Group A(n=30 patients),who underwent the surgery under SA, and Group B(n=30 patients),who underwent the surgery under GA.Hemodynamic stability in terms of HR,MAP,total blood loss,post–operative analgesic requiremnets,patient’s and surgeon’s comfort,use of poly–pharmacy and OT utilization time were recorded intra–operatively and post–operatively. Results: MAP and HR did not show significant difference between the 2 groups(p value>0.05). Blood loss was minimal in both groups,however post–op analgesic requirements,use of poly–pharmacy and OT utilization time were significantly reduced in Group A. Conclusion: It was observed that the patients were hemodynamically more stable and comfortable when operated under GA,however post–opertaive analgesia,OT utilization time was better when done under SA,also minimizing the inadvertent use of poly–pharmacy. Hence,SA is reaching equal efficacy with that of GA for PCNL cases.

Keywords :

Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

OUTCOME OF PCNL UNDER SPINAL ANAESTHESIA IN RURAL TEACHING HOSPITAL - A RETROSPECTIVE STUDY, Dr Ramesh, Dr K.Mohan, Dr G Monisha INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-8 | August-2020

Number of Downloads : 183

References :