Spinal anesthesia for elective lumbar spine surgery

Tetzlaff, John E.; Dilger, John A.; Kodsy, Maher; AlBataineh, Jehad; Yoon, Helen J.; Bell, Gordon R.

doi:10.1016/s0952-8180(98)00112-3

Cited by 84 publications

(85 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies have shown that spinal anesthesia has some advantages like less nerve injury, less corneal damage, less intraoperative bleeding and thromboembolism, decreased analgesic medication requirements and fewer side effects such as nausea and vomiting (6,14,10). These advantages result in shorter hospital stay and reduced cost (5,18). Spinal anesthesia has been in our routine practice for 5 years now.…”

Section: Discussionmentioning

confidence: 99%

“…In some randomized prospective studies, it was reported that blood pressure and heart rate were lower in spinal anesthesia compared to general anesthesia during lumbar spine surgeries (6,18). Other studies have reported that spinal anesthesia provides better hemodynamic intraoperative stability (1,19,22).…”

Section: Discussionmentioning

confidence: 99%

“…Complications such as nausea and vomiting are encountered less in spinal anesthesia resulting in increased patient comfort (5,18,20). The use of N 2 O, decreased gastric emptying time may contribute to increased incidents of nausea and vomiting in general anesthesia (11).…”

Section: Discussionmentioning

confidence: 99%

“…Hospitalization time is shorter in patients who undergo surgery with spinal anesthesia than general anesthesia, which is an advantage (6,10,18). The reasons might be the low incidence of complications such as pain, nausea and vomiting and decreased requirement for postoperative care after spinal anesthesia.…”

Section: Vural C and Yorukoglu D: Anesthesia Cost And Satisfaction In Lmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery

Vural¹,

Yörükoğlu²

2013

Turkish Neurosurgery

View full text Add to dashboard Cite

AIm:The aim of this study was to evaluate patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery. mATERIAL and mETHods:The study was performed on 66 ASA class I-II patients with one level lumbar disc herniation (LDH). In this prospective study, patients were assigned randomly to either spinal anesthesia or general anesthesia groups. Hemodynamic variables, intraoperative opioid requirements, postoperative pain scores and analgesic requirements and complications were recorded. Patients were handed a questionnaire about the procedure they underwent to determine patient satisfaction. The costs of preoperative and postoperative anesthesia procedures, medications, and hospitalization were calculated individually. REsuLTs:Spinal anesthesia and general anesthesia were similar concerning hemodynamic stability, first urination time, first mobilization time, postoperative analgesic requirement, and pain. Patients in group S needed less additional dose of fentanyl intraoperatively than the patients in group G. Patient satisfaction was significantly higher in Group S when compared to Group G. Total cost was higher in Group G compared to Group S. CoNCLusIoN:We conclude that successful LDH surgery can be performed using either anesthesia type. As long as patients are selected carefully, spinal anesthesia is a safe, comfortable, and a more economical alternative.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Vural C and Yorukoglu D: Anesthesia Cost And Satisfaction In Lmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery

Vural¹,

Yörükoğlu²

2013

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…SA is widely used technique for lumbar spine surgery especially for laminectomies (6,9,16,18) but its use for posterior lumbar stabilization surgery has not been reported yet. However, a significant number of patients who present a high surgical risk have undergone posterior lumbar stabilization surgery with GA (12,14).…”

Section: Introductionmentioning

confidence: 99%

Posterior lumbar stabilization surgery under spinal anaesthesia for patients with degenerative spondylolisthesis, spinal stenosis and lumbar compression fracture

Erbaş

Pusat²,

Yı́lmaz³

et al. 2015

Turkish Neurosurgery

View full text Add to dashboard Cite

AIm:Spinal anesthesia is an appropriate technique for lumbar spine surgeries of two to three hours duration. The aim of this study is to document our experience on spinal anesthesia administered to the patients with degenerative lumbar spine. mAterIAl and methOds: A total of 497 patients underwent spinal stabilization surgery with spinal anesthesia for degenerative lumbar spinal disorders in an 8-year period. Spinal anesthesia was performed at the L3-L4 or L4-L5 level and subarachnoid block was achieved with 15 mg of 0.5% plain bupivacaine with 2 µg of fentanyl and 0.2 mg of epinephrine. There was no failure of anesthesia. The patients were closely monitored for complications associated with the SA technique and especially hypotension and bradycardia but no gross alterations in cardiovascular stability were noted. results: Among the 497 patients, 139 were male and 358 were female with a median age of 51 years. The average anesthesia duration was 130 minutes and the average operative time was 85 minutes. In the postoperative period 36 patients has nausea (7.2%) and 18 of them had vomiting (3.6%) that required one dose of antiemetic. No spinal headache was observed and 36 (7.2%) patients complained of urinary retention. All recovered with urinary cannulation within 24 hours. No respiratory complication occurred and no patient died.COnClusIOn: Spinal anesthesia is a safe and effective procedure for the lumbar spinal stabilization surgery, especially in high-riskpatients. Proper precautions should be taken in order to achieve an effective anesthesia for these operations. BulGulAr: Toplam 497 hastanın 139 tanesi erkek, 358 tanesi ise bayandı ve ortalama yaş 51 idi. Ortalama anestezi süresi 130 dakika ve ortalama ameliyat süresi ise 85 dakika olarak hesaplandı. Postoperatif dönemde 36 (%7,2) hastada bulantı oldu ve bunların 18 (%3,6) tanesinde kusma görüldü. Bir doz antiemetik ile düzeldi. Spinal anesteziye bağlı başağrısı hiçbir hastada görülmedi ancak 36 (%7,2) hastada üriner retansiyon görüldü ve bu da 24 saat içinde üriner kanülasyon ile düzeldi. Solunum sıkıntısı görülmedi ve hiçbir hasta ölmedi. sOnuÇ: Spinal anestezi özellikle yüksek riskli hasta grubunda lomber stabilizasyon cerrahisi için güvenli ve etkili bir yöntemdir. Bu tür ameliyatlarda etkin anestezinin sağlanması için uygun tedbirlerin alınması gereklidir.

show abstract