Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
| Autor: | Dingjun Hao, Liang Dong, Zhengwei Xu, Xucai Wu, Chaoyuan Ge, Zijun Gao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Sedation Science Operative Time Drug development Anesthesia General Sevoflurane Article 03 medical and health sciences 0302 clinical medicine Medical research 030202 anesthesiology Fractures Compression medicine Humans Local anesthesia Kyphoplasty Dexmedetomidine Aged Retrospective Studies Aged 80 and over Multidisciplinary Fracture repair business.industry Ropivacaine Perioperative Middle Aged Treatment Outcome Anesthesia Anesthetic Spinal Fractures Medicine Female medicine.symptom Propofol business 030217 neurology & neurosurgery Osteoporotic Fractures medicine.drug Anesthesia Local |
| Zdroj: | Scientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) Scientific Reports |
| ISSN: | 2045-2322 |
| Popis: | Local and general anesthesia are the main techniques used during percutaneous kyphoplasty (PKP); however, both are associated with adverse reactions. Monitored anesthesia with dexmedetomidine may be the appropriate sedative and analgesic technique. Few studies have compared monitored anesthesia with other anesthesia modalities during PKP. Our aim was to determine whether monitored anesthesia is an effective alternative anesthetic approach for PKP. One hundred sixty-five patients undergoing PKP for osteoporotic vertebral compression fractures (OVCFs) were recruited from a single center in this prospective, non-randomized controlled study. PKP was performed under local anesthesia with ropivacaine (n = 55), monitored anesthesia with dexmedetomidine (n = 55), and general anesthesia with sufentanil/propofol/sevoflurane (n = 55). Perioperative pain was assessed using a visual analogue score (VAS). Hemodynamic variables, operative time, adverse effects, and perioperative satisfaction were recorded. The mean arterial pressure (MAP), heart rate, VAS, and operative time during monitored anesthesia were significantly lower than local anesthesia. Compared with general anesthesia, monitored anesthesia led to less adverse anesthetic effects. Monitored anesthesia had the highest perioperative satisfaction and the lowest VAS 2 h postoperatively; however, the monitored anesthesia group had the lowest MAP and heart rate 2 h postoperatively. Based on better sedation and analgesia, monitored anesthesia with dexmedetomidine achieved better patient cooperation, a shorter operative time, and lower adverse events during PKP; however, the MAP and heart rate in the monitored anesthesia group should be closely observed after surgery. |
| Databáze: | OpenAIRE |
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