Assessing the differences in outcomes between general and non-general anesthesia in spine surgery: Results from a national registry

2019 ◽  
Vol 180 ◽  
pp. 79-86 ◽  
Author(s):  
Waseem Wahood ◽  
Yagiz Yolcu ◽  
Mohammed Ali Alvi ◽  
Anshit Goyal ◽  
Timothy R. Long ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Spine Surgery ◽  
National Registry

scholarly journals Perioperative Visual Deficit in a Patient Undergoing Dorsolumbar Spine Surgery

2018 ◽  
Vol 05 (03) ◽  
pp. 195-197 ◽  
Author(s):  
Ved Prakash Pandey ◽  
Arnab Dasgupta ◽  
Anurag Aggarwal ◽  
Sachin Jain
Keyword(s):  
Blood Loss ◽  
General Anesthesia ◽  
Prone Position ◽  
Spine Surgery ◽  
Visual Loss ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Ischemic Optic Neuropathy ◽  
Long Duration ◽  
Retinal Artery

AbstractPerioperative visual loss (POVL) is a rare but potentially serious complication of long-duration surgeries in prone position under general anesthesia. The mechanism of visual loss after surgery, and its incidence, is difficult to determine. It is primarily associated with cardiothoracic and spine surgeries. The proposed causes include corneal injury, retinal ischemia (central retinal artery occlusion/branch retinal artery occlusion [CRAO/BRAO]), ischemic optic neuropathy (ION), and cortical blindness. A large, recent multicenter case-control study has identified risk factors associated with ION for patients undergoing spinal instrumentation surgery in prone position. These include male sex, obesity, use of Wilson's frame, long duration of anesthesia/surgery, larger estimated blood loss, and larger relative use of crystalloids for compensation of blood loss. This report describes a relatively healthy, 71-year-old female patient who developed significant visual impairment after thoracolumbar spine surgery in prone position under general anesthesia. The case raises dilemmas regarding the preoperative identification of patients who should be informed of the risk of POVL, and by whom.

scholarly journals Professional dental cleaning in dogs: clinical routines among Swedish veterinarians and veterinary nurses

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Karolina Brunius Enlund ◽  
Michaela Karlsson ◽  
Carl Brunius ◽  
Ragnvi Hagman ◽  
Odd Viking Höglund ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Dental Health ◽  
Small Animal ◽  
National Registry ◽  
Dental Radiography ◽  
Work Place ◽  
Considerable Proportion ◽  
Validated Questionnaire ◽  
Dental Home ◽  
E Mail

Abstract Background Dental disease is very common in dogs and veterinary professional dental cleaning and examination, together with daily dental home care, is the foundation for good dental health. To our knowledge, no previous study has investigated professional dental cleaning routines in small animal veterinary practice. A validated questionnaire survey was distributed to all veterinarians and veterinary nurses with registered e-mail addresses in the Swedish national registry (veterinarians; n = 3657, veterinary nurses; n = 1650). Response rates were 32% for veterinarians (V) and 38% for veterinary nurses (VN). Results In total, 73% (V)/96% (VN) of respondents reported that professional dental cleaning was performed at their work place under general anesthesia, and 27% (V)/18% (VN) that dental cleaning was performed under sedation. Of the respondents, 43% (V)/96% (VN) considered regular dental cleaning under general anesthesia fairly or very important, and 49% (V)/47% (VN) stated that it was sometimes important for good dental health in dogs. A majority of respondents, 84% (V)/97% (VN), reported that dental extractions were performed at their clinic, and 72% (V)/90% (VN) had access to dental radiography equipment. Conclusion A majority of Swedish veterinarians and veterinary nurses perform professional dental cleaning under general anesthesia with access to dental radiography equipment, in accordance with national and international recommendations. However, a considerable proportion of professional dental cleanings were performed under sedation only, and extractions performed without access to dental radiography equipment were common, suggesting several areas of improvement in the routines in Swedish veterinary clinics and hospitals. Our results clearly indicate the need for improved educational efforts to increase the awareness among veterinary health professionals regarding guidelines and official recommendations in canine dental care.

A Comparison of Regional Versus General Anesthesia for Lumbar Spine Surgery

2017 ◽  
Vol 29 (4) ◽  
pp. 415-425 ◽  
Author(s):  
Andres Zorrilla-Vaca ◽  
Ryan J. Healy ◽  
Marek A. Mirski
Keyword(s):  
Lumbar Spine ◽  
General Anesthesia ◽  
Spine Surgery ◽  
Lumbar Spine Surgery

scholarly journals EFFECT OF COMBINING EPIDURAL WITH GENERAL ANESTHESIA ON RECOVERY AFTER SPINE SURGERY: RANDOMIZED CONTROLLED STUDY

2019 ◽  
Vol 25 (3) ◽  
pp. 298-307
Author(s):  
Ashraf El sayed Ahmed El sayed ◽  
Abeer Mohamed Abdelbaky Elnakera ◽  
Abeer Hassan Mostafa Al sawy ◽  
Tarek Yousef Gaafar
Keyword(s):  
General Anesthesia ◽  
Spine Surgery ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled

scholarly journals 176 Efficiency of Spinal Anesthesia in Comparison to General Anesthesia in Lumbar Spine Surgery: A Retrospective Analysis of 544 Patients

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 245-246
Author(s):  
John Thomas Pierce ◽  
Prateek Agarwal ◽  
Paul J Marcotte ◽  
William Charles Welch
Keyword(s):  
Lumbar Spine ◽  
Blood Loss ◽  
Hospital Stay ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Spine Surgery ◽  
Operative Time ◽  
Length Of Hospital Stay ◽  
Lumbar Spine Surgery ◽  
Anesthesia Time

Abstract INTRODUCTION Lumbar spine surgery can be successfully performed using various anesthetic techniques. Previous studies have shown varying results in selected outcomes when directly comparing spinal anesthesia (SA) to general anesthesia (GA) in lumbar surgery. We sought to elucidate the more expedient anesthetic technique. METHODS Following IRB approval, a retrospective review of patients undergoing elective lumbar decompression surgery using GA or SA was performed. Demographic data known to influence perioperative morbidity was collected as well as safety and efficiency parameters. After controlling for patient and procedure characteristics, simple linear and multivariate regression analyses were performed to identify differences in operative blood loss, operative time, time from entering the OR until incision, time from bandage placement to exiting the OR, total anesthesia time, time in the post-anesthesia care unit (PACU), and length of hospital stay. RESULTS >544 consecutive lumbar laminectomy and discectomy surgeries were identified with 183 undergoing GA and 361 undergoing SA. The following times were all shorter for patients receiving SA than GA: operative time (97.4 vs. 151.8 min., P < 0.001), total anesthesia time (145.6 vs. 217.5 min., P < 0.001), time from entering the OR until incision (38.3 vs. 46.8 min., respectively, P < 0.001), time from bandage placement until exiting the OR (10.2 vs. 17.2 min., P < 0.001), and length of hospital stay (1.5 vs. 3.1 days, P < 0.001). The mean PACU length of stay was longer in the SA group than the GA group (178.0 vs. 116.5 min., P < 0.001). Estimated blood loss was less in the SA group than the GA group (62.1 vs. 176.3 mL, P < 0.001). CONCLUSION Spinal anesthesia may be the more expedient method of anesthesia in lumbar spinal surgery for all perioperative time points except for time in the PACU.

scholarly journals Intraoperative responses of motor evoked potentials to the novel intravenous anesthetic remimazolam during spine surgery: a report of two cases

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Takashi Kondo ◽  
Yukari Toyota ◽  
Soshi Narasaki ◽  
Tomoyuki Watanabe ◽  
Hirotsugu Miyoshi ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Spine Surgery ◽  
Motor Evoked Potentials ◽  
Optimal Dose ◽  
Fixed Dose ◽  
The Novel ◽  
Organ Function ◽  
Case Presentation ◽  
Intravenous Anesthetic ◽  
Electroencephalogram Eeg

Abstract Background Remimazolam is a novel short-acting benzodiazepine characterized by metabolism independent from organ function. We report intraoperative MEP responses of two patients who underwent spine surgery under general anesthesia using remimazolam. Case presentation In case 1, MEP monitoring was successfully performed with the use of a fixed dose of remimazolam at 0.5 mg/kg/h and remifentanil at 0.2 μg/kg/min. In case 2, an increasing dose of remimazolam from 0.5 to 1.5 mg/kg/h during the operation did not affect MEP signals. In both cases, remimazolam was titrated to maintain the values of entropy electroencephalogram (EEG) monitoring at 40–60. Conclusions General anesthesia using remimazolam and remifentanil can be a valuable alternative for spine surgery with MEP monitoring by EEG to assess the optimal dose.

Sign in / Sign up

Export Citation Format

Share Document