Comparison between General and Spinal Anesthesia for Lumbar Disc Surgery: A Randomized Clinical Trial

• Molouk Jaafarpour ^[1] ; Masoud Hatefi ^[2] ; Aminollah Vasigh ^[3] ; Ali Khani ^[4] ; Fatemeh Njafi ^[4] ; Elham Shafiei ^[5]
  1. [1] Department of Midwifery, School of Nursing and Midwifery Faculty, Ilam University of Medical Sciences, Ilam, Iran.
  2. [2] Department of Neurosurgery, Medicine Faculty, Ilam University of Medical Sciences, Ilam, IR-Iran.
  3. [3] Department of Anaesthesiology, Medicine Faculty, Ilam University of Medical Sciences, Ilam, Iran.
  4. [4] Department of Nursing, Nursing & Midwiferay Faculty, Ilam University of Medical Sciences, Ilam, Iran.
  5. [5] Department of Epidemiology, School of Health, Ilam University of Medical Sciences, Ilam, Iran.

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• Localización: Academic Journal of Health Sciences: Medicina Balear, ISSN-e 2255-0560, Vol. 38, Nº. 4, 2023, págs. 41-46
• Idioma: inglés
• DOI: 10.3306/AJHS.2023.38.04.41
• Títulos paralelos:
  • Comparion between General and Spinal Anesthesia for Lumbar Disc Surgery: A Randomized Clinical Trial
  • Comparación entre anestesia general y raquídea para la cirugía discal lumbar: Un ensayo clínico aleatorizado
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Introducción: La cirugía discal lumbar se realiza con mayor frecuencia bajo anestesia general (AG). Sin embargo, la anestesia raquídea (AC) también puede ser una alternativa satisfactoria en la cirugía discal lumbar. El presente estudio se realizó para comparar las complicaciones de la anestesia general y espinal en pacientes con discectomía lumbar.

    Material y métodos: Cincuenta pacientes fueron asignados aleatoriamente a dos grupos de anestesia general (25 pacientes) y raquídea (25 pacientes). Se registraron la intensidad del dolor (según la escala analógica visual (EAV), el uso de analgésicos, la presión arterial (PA), la frecuencia cardiaca (FC), la pérdida de sangre, la frecuencia respiratoria (FR), la satisfacción del paciente, las náuseas, los vómitos y los escalofríos en la sala de recuperación.

    Resultados: La puntuación media de la gravedad del dolor, el uso postoperatorio de analgésicos, la pérdida de sangre intraoperatoria y el tiempo de recuperación en el grupo de anestesia raquídea fueron significativamente inferiores a los del grupo de anestesia general (p<0,001). Los cambios intraoperatorios de la FC y la PA, las náuseas, los vómitos y los escalofríos en la sala de recuperación fueron significativamente menores en el grupo de anestesia raquídea (p<0,05, p<0,001). La satisfacción del paciente fue significativamente alta en el grupo de anestesia raquídea (p<0,001).

    Conclusiones: la anestesia raquídea es segura y parece ser más eficaz. Algunas ventajas de la anestesia espinal son una menor puntuación de la intensidad del dolor y del uso de analgésicos, una menor pérdida de sangre durante la intervención y menos complicaciones postoperatorias.

  • English

    Introduction: Lumbar disc surgery is most often performed under general anesthesia (GA). However, spinal anesthesia (SA) can also be a successful alternative in lumbar disc surgery. The present study was conducted to compare the complications of general and spinal anesthesia in patients with lumbar discectomy.

    Material and Methods: Fifty patients were randomly allocated into two groups of general (25 patient) and spinal anesthesia (25 patient). The pain severity (based on visual analogue scale [VAS]), the use of analgesics, blood pressure (BP), heart rate (HR), blood loss, respiratory rate (RR), patient satisfaction, nausea, vomiting, and shivering in recovery room were recorded.

    Results: The mean pain severity score, postoperative use of analgesics, intraoperative blood loss and recovery time in the spinal anesthesia group were significantly lower than general anesthesia group (P<0.001). Intraoperative HR and BP changes, nausea, vomiting, and shivering in recovery room were significantly lower in spinal anesthesia group (p<0.05, p<0.001). The patient satisfaction was significantly high in the spinal anesthesia group (p<0.001).

    Conclusions: spinal anesthesia is safe and seems to be more effective. Some advantages of SA include lower pain severity score and the use of analgesics, reduced amount of blood loss during the surgery and fewer postoperative complications.

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