Combined spinal-epidural anesthesia in laparoscopic appendectomy: a prospective feasibility study
Annals of Surgical Treatment and Research
;
: 208-213, 2017.
Article
in English
| WPRIM
| ID: wpr-169998
ABSTRACT
PURPOSE:
Laparoscopic appendectomy (LA) is routinely performed under general, not regional anesthesia. This study assessed the feasibility, efficacy, and side effects of combined spinal-epidural anesthesia (CSEA) in LA.METHODS:
Thirty-three American Society of Anesthesiologist (ASA) physical status classification grade I patients underwent LA under CSEA. CSEA was performed using the needle-through-needle technique at the L₃–L₄ interspace. Preoperative and postoperative adverse events related to CSEA, patient satisfaction, and postoperative pain levels were recorded.RESULTS:
LA under CSEA was performed successfully in 33 patients (84.6%). Peroperatively, right shoulder pain was observed in 8 patients (24.1%), abdominal discomfort in 6 (18.2%), anxiety in 5 (15.2%), hypotension in 2 (6.1%) and nausea-vomiting in 1 (3%). In the first 24 hours after LA, headache, urinary retention, right shoulder pain, and postoperative nausea/vomiting (PONV) occurred in 18.1%, 12.1%, 9.1%, and 0% of patients, respectively. In the first 6 hours postoperation, no patients had operation-site pain that required analgesic treatment. Thirty-one patients (94%) evaluated their satisfaction with the procedure as good or moderate.CONCLUSION:
CSEA is an efficient and suitable anesthesia technique in LA for ASA physical status classification grade I healthy patients. CSEA is associated with good postoperative pain control and the absence of PONV and intubation-associated complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anxiety
/
Pain, Postoperative
/
Appendectomy
/
Appendicitis
/
Feasibility Studies
/
Prospective Studies
/
Urinary Retention
/
Classification
/
Patient Satisfaction
/
Laparoscopy
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2017
Type:
Article
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