Spinal anesthesia for lumbar spine surgery correlates with fewer total medications and less frequent use of vasoactive agents: A single center experience

Autor: Timothy T. Houle, Jean-Valery Coumans, Hao Deng, Richard G.W. Anderson, Robert A. Peterfreund
Rok vydání: 2019
Předmět:
Male
Decompression
medicine.medical_treatment
General Anesthesia
Blood Pressure
Single Center
Vascular Medicine
Neurosurgical Procedures
0302 clinical medicine
Bolus (medicine)
Anesthesiology
030202 anesthesiology
Foraminotomy
Medicine and Health Sciences
Vasoconstrictor Agents
Anesthesia
Musculoskeletal System
Univariate analysis
Lumbar Vertebrae
Multidisciplinary
Pharmaceutics
Drugs
Hematology
Middle Aged
Esmolol
Medicine
Female
Anatomy
Research Article
Diskectomy
medicine.drug
Adult
Drug Administration
Science
Surgical and Invasive Medical Procedures
Anesthesia
General
Anesthesia
Spinal
03 medical and health sciences
Lumbar
Drug Therapy
medicine
Pain Management
Humans
Anesthetics
Aged
Retrospective Studies
Pharmacology
business.industry
Hemodynamics
Lumbosacral Region
Biology and Life Sciences
Retrospective cohort study
Spine
business
030217 neurology & neurosurgery
Zdroj: PLoS ONE, Vol 14, Iss 6, p e0217939 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: Study objectiveAnesthesiologists at our hospital commonly administer spinal anesthesia for routine lumbar spine surgeries. Anecdotal impressions suggested that patients received fewer anesthesia-administered intravenous medications, including vasopressors, during spinal versus general anesthesia. We hypothesized that data review would confirm these impressions. The objective was to test this hypothesis by comparing specific elements of spinal versus general anesthesia for 1-2 level open lumbar spine procedures.DesignRetrospective single institutional study.SettingAcademic medical center, operating rooms.PatientsConsecutive patients (144 spinal and 619 general anesthesia) identified by automatic structured query of our electronic anesthesia record undergoing lumbar decompression, foraminotomy or microdiscectomy by one surgeon under general or spinal anesthesia.InterventionsSpinal or general anesthesia.MeasurementsNumbers of medications administered during the case.Main resultsAnesthesiologists administered in the operating room a total of 10 ± 2 intravenous medications for general anesthetics and 5 ± 2 medications for spinal anesthetics (-5, 95% CI -5 to -4, pConclusionsFor routine lumbar surgery in our cohort, spinal compared to general anesthesia was associated with significantly fewer drugs administered during a case and less frequent use of vasoactive agents. Safety implications include greater hemodynamic stability with spinal anesthesia along with reduced risks for medication error and transmission of pathogens associated with medication administration.
Databáze: OpenAIRE
Externí odkaz: