Comparison of recovery characteristics of unilateral spinal anesthesia with general anesthesia in knee arthroscopy Diz artroskopilerinde unilateral spinal anestezi ve genel anestezi uygulamalarinin derlenme özellikleri açisindan karş ilaştirilmasi
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.36, sa.5, ss.310-316, 2008 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 5
- Basım Tarihi: 2008
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.310-316
- Anahtar Kelimeler: Anesthetic techniques-general, Anesthetic techniques-unilateral spinal, Anesthetics general-desflurane, Anesthetics local-bitpivacaine, Remifentanil
- Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet
Özet
Aim: Techniques allowing fast and safe discharge of patient's undergoing arthroscopic knee surgery are still evaluated. Regional techniques or general anesthesia are suitable for these operations. The purpose of this study was to compare the recovery and early discharge properties of two anesthesia techniques. Materials and Methods: After obtaining ethics committee approval and informed consent patients were divided to two groups. After standard monitorization bispectral index (BIS) monitor was also applied to patients in Group I (n=30). For anesthesia induction 0.5-1 μg kg-1 remifentanil, 2-3 mg kg-1 propofol and 0.1 mg kg-1 atracurium were given and a laringeal mask airway (LMA) was inserted. During maintenance of anesthesia desflurane was applied and was titrated to achieve BIS index values of 50-60. In Group II (n=30) spinal anesthesia in lateral decubitus position (ULSA) with 5mg hyperbaric bupivacaine 0.5 % was performed and patients were kept in the same position to achieve an anesthesia level at T12 (maximum 25 minutes). Development of motor and sensorial block on both sides, onset time to surgical anaesthesia was recorded. The time required for 14 points recovery score to be ≥12, the number was also recorded. Results: Time to be ready for surgery was significantly shorter in Group I. Recovery times after surgery was significantly longer in Group I. The overall anesthesia-related time was comparable between the groups. The recovery scores were significantly higher in Group II. The time for recovery score to be ≥12 was shorter in Group II. However, home readiness did not differ significantly between the groups. Conclusion: ULSA with 5mg hyperbaric bupivacaine in knee arthroscopy provided fast-tracking and was superior to desflurane anesthesia in this respect; but this did not affected home-readiness. However patients in the ULSA achieved faster and higher recovery scores during the immediate postoperative period which seems advantageous.