scholarly journals Effect of Different Anesthesia Methods on Emergence Agitation and Related Complications in Postoperative Patients with Osteosarcoma

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Minghuan Zhang ◽  
Bo Wang ◽  
Wen Mao
Keyword(s):  
Tracheal Intubation ◽  
General Anesthesia ◽  
Epidural Anesthesia ◽  
Statistical Difference ◽  
Incidence Rates ◽  
Control Group ◽  
Emergence Agitation ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural ◽  
Experimental Group

Purpose. To explore the effect of different anesthesia methods on emergence agitation (EA) and related complications in postoperative patients with osteosarcoma. Methods. According to the order of admission, 115 patients requiring osteosarcoma surgery treated in our hospital from January 2018 to December 2020 were selected as the research object and randomly divided into the control group (n = 57, accepted the general anesthesia with tracheal intubation) and the experimental group (n = 58, accepted the combined spinal-epidural anesthesia) to compare their anesthesia effect, incidence rates of agitation and complications, and other indexes. Results. In terms of the hemodynamic indexes (MAP, HR, and CVP values), both groups had lower ones at T1 than at T0, but the decline of the experimental group was generally lesser than that of the control group; at T2, no statistical difference was shown within the experimental group’s indexes when comparing with those at T1, but the control group obtained a significant increase; at T3 and T4, both groups had their hemodynamic indexes increased, but such increase within the experimental group showed no statistical difference when comparing with those at T0, while the control group achieved obviously higher values at T4 than at T0 (before the anesthesia); and the between-group difference in the hemodynamic indexes at T1 and T4 was significant. Compared with the control group, the experimental group achieved better VAS scores and anesthesia indexes and lower incidence rates of EA and complications such as the hypoxemia, cardiovascular response, delayed recovery, and headache. In addition, the differences in the incidence rates of hypotension and cognitive dysfunction between the two groups were not statistically significant. Conclusion. When comparing with tracheal intubation general anesthesia, the combined spinal-epidural anesthesia has a better effect in osteosarcoma surgery, with less hemodynamics influence on patients, reduced postoperative pain and stress reaction, and lowered incidence rates of postoperative EA and complications, which is worthy of wide application in clinical treatment.

COMPARATIVE STUDY OF COMBINED SPINAL EPIDURALANESTHESIA VS GENERAL ANESTHESIA IN LOWER LUMBER SPINE SURGERY.

2021 ◽  
pp. 34-36
Author(s):  
Sagar Mukhopadhyay ◽  
Shreyasi Chatterjee ◽  
Kiran Kumar Mukhopadhyay
Keyword(s):  
Lumbar Spine ◽  
Comparative Study ◽  
General Anesthesia ◽  
Prone Position ◽  
Spine Surgery ◽  
Epidural Anesthesia ◽  
Lumbar Spine Surgery ◽  
Airway Compromise ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

Either under general anesthesia or combined spinal ,epidural anesthesia lumbar spine surgery can be safely and successfully performed.However general anesthesia is commonly and widely used because of its faster onset of action.The advantages of using general anesthesia are patients comfort,satisfaction and the ability to carry out prolonged operations in the prone position without airway compromise.(1,2).

scholarly journals Comparison of general anesthesia with endotracheal intubation, combined spinal-epidural anesthesia, and general anesthesia with laryngeal mask airway and nerve block for intertrochanteric fracture surgeries in elderly patients: a retrospective cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yang Liu ◽  
Mang Su ◽  
Wei Li ◽  
Hao Yuan ◽  
Cheng Yang
Keyword(s):  
Elderly Patients ◽  
General Anesthesia ◽  
Nerve Block ◽  
Epidural Anesthesia ◽  
Intertrochanteric Fracture ◽  
Combined Spinal Epidural ◽  
Variation Rate ◽  
Vas Scores ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

Abstract Background There is no consensus on the optimal anesthesia method for intertrochanteric fracture surgeries in elderly patients. Our study aimed to compare the hemodynamics and perioperative outcomes of general anesthesia with endotracheal intubation, combined spinal-epidural anesthesia, and general anesthesia with laryngeal mask airway (LMA) and nerve block for intertrochanteric fracture surgeries in elderly patients. Methods This is a retrospective study of 75 patients aged > 60 years scheduled for intertrochanteric fracture surgeries with general anesthesia with intubation (n = 25), combined spinal-epidural anesthesia (n = 25), and general anesthesia with LMA and nerve block (n = 25). The intraoperative hemodynamics were recorded, and the maximum variation rate was calculated. Postoperative analgesic effect was evaluated using the visual analog scale (VAS). Postoperative cognitive status was assessed using the Mini-Mental State Exam (MMSE). Results The maximum variation rate of intraoperative heart rate, systolic blood pressure, diastolic blood pressure differed significantly between the three groups (general anesthesia with intubation > combined spinal-epidural anesthesia > general anesthesia with LMA and nerve block). The VAS scores postoperative 2 h, 4 h, 6 h, and 8 h also differed significantly between the three groups (general anesthesia with intubation > combined spinal-epidural anesthesia > general anesthesia with LMA and nerve block). The VAS scores postoperative 24 h were significantly lower in the general anesthesia with LMA/nerve block group than the general anesthesia with intubation group and the combined spinal-epidural anesthesia group. The MMSE scores postoperative 15 min and 45 min differed significantly between the three groups (general anesthesia with intubation < combined spinal-epidural anesthesia < general anesthesia with LMA and nerve block). The MMSE scores postoperative 120 min in the general anesthesia with intubation group were the lowest among the three groups. There was no significant difference in the incidence of respiratory infection postoperative 24 h, 48 h, and 72 h between the three groups. Conclusion Compared to general anesthesia with intubation and combined spinal-epidural anesthesia, general anesthesia with LMA and nerve block had better postoperative analgesic effect and less disturbances on intraoperative hemodynamics and postoperative cognition for elderly patients undergoing intertrochanteric fracture surgeries.

scholarly journals Effects of Luo Han Guo on throat complications associated with tracheal intubation: a randomized controlled trial

2019 ◽  
Vol 47 (7) ◽  
pp. 3203-3211
Author(s):  
Hui-Lian Tan ◽  
Yu-Kun Liang ◽  
Yong-Ming Li ◽  
Li-Yu Qiu ◽  
Rui Huang ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
General Anesthesia ◽  
Analogue Scale ◽  
Controlled Trial ◽  
Black Tea ◽  
Control Group ◽  
Laparoscopic Radical Hysterectomy ◽  
Randomized Controlled ◽  
Evaluation Scores ◽  
Experimental Group

Objectives Conventional treatment for throat complications after surgery involves the use of hormone therapy, which has variable effects. This study was performed to investigate the effects of oral administration of Luo Han Guo decoction for throat complications after tracheal intubation during general anesthesia for laparoscopic radical hysterectomy. Methods Beginning at 6 h after surgery, patients in the experimental group were administered 30 mL of a Luo Han Guo decoction; the control group received black tea. Patients in both groups were evaluated using a Visual Analogue Scale for the degree of throat soreness at 2, 12, 24, and 48 h after surgery; coughing and expectoration were evaluated at 48 h after surgery. Results This study included 203 patients: 102 in the experimental group and 101 in the control group. Compared with controls, the experimental group had significantly lower evaluation scores at 12, 24, and 48 hours postoperatively. Moreover, at 48 hours postoperatively, coughing and expectoration were significantly reduced in the experimental group, compared with in the control group. Conclusions Administration of a Luo Han Guo decoction can effectively reduce throat pain, hoarseness, throat swelling, cough, and sputum after tracheal intubation during general anesthesia.

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