Ureteroscopic lithotripsy combined with paravertebral block anesthesia or general anesthesia: A propensity matched case–control study

Autor: Yue Wu, Cong Li, Yuchao Lu, Jiaqiao Zhang, Wei Mei, Shaogang Wang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Asian Journal of Surgery, Vol 44, Iss 11, Pp 1370-1375 (2021)
Druh dokumentu: article
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2021.03.001
Popis: Background: To evaluate the safety, efficacy and cost of paravertebral block anesthesia for ureteral stones patients undergoing ureteroscopic lithotripsy. Methods: Four hundred and eighty-two patients who underwent ureteroscopy for unilateral ureteral stones were incorporated into our retrospective study. A propensity-matched comparison in patients with paravertebral nerve block anesthesia (PVB) group and general anesthesia (GA) group was performed. Intraoperative hemodynamic parameters, operative time, visual analog scale for pain, stone-free rate, anesthetic cost and postoperative hospital stay were compared between the two groups. Results: Sixty-one GA cases were propensity matched to 61 PVB cases. In the PVB group, all the procedures were completed successfully without anesthesia conversion. Significantly less intraoperative severe hypotensive (P = 0.002) and arrhythmia (P
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