STUDY ON COMPARATIVE ANALYSIS OF SPINAL ANESTHESIA VERSUS GENERAL ANESTHESIA FOR ELECTIVE LUMBAR SPINE SURGERY

Dr. Narendra Kumar Kalia; Dr. Pankaj Wadhwa

Volume : X, Issue : VI, June - 2020

STUDY ON COMPARATIVE ANALYSIS OF SPINAL ANESTHESIA VERSUS GENERAL ANESTHESIA FOR ELECTIVE LUMBAR SPINE SURGERY

Dr. Narendra Kumar Kalia, Dr. Pankaj Wadhwa

Abstract :

BACKGROUND: Either general or regional anaesthesia can be used for lumbar disc surgery. The common anaesthetic technique is general anaesthesia (GA). Some studies have shown reduced surgical time, postoperative pain, time in the postanesthesia care unit (PACU), incidence of urinary retention, postoperative nausea, and more favourable cost–effectiveness with spinal anaesthesia. Hence we have taken up this study to compare the intra and postoperative outcomes of SA with GA in these cases. METHODS: We enrolled a total of 62 cases posted for lumbar spine surgery. Out of which, 32 cases were posted under GA and 30 cases under SA. The heart rate (HR), mean arterial pressure (MAP), blood loss, surgeons satisfaction with the operating conditions, and analgesic use were recorded. RESULTS: A total of 62 cases were included in our study, which had been posted for the surgical procedures. We included 32 cases posted for surgery under GA and 30 under SA. There were no statistically significant differences between two groups for demographic characteristics, duration of surgery and PACU stay. There were statistically significant differences in Intra–operative maximum mean arterial blood pressure and heart rate changes between SA and GA (p < 0.05). CONCLUSIONS: In our study, we found that SA is effective for use in patients undergoing lumbar spine surgery was shown to be the more expedient anaesthetic choice in the perioperative setting. SA was superior to GA in providing postoperative analgesia and decreasing blood loss.