A Prospective Randomized Study Comparing Percutaneous Nephrolithotomy under Combined Spinal-Epidural Anesthesia with Percutaneous Nephrolithotomy under General Anesthesia

2011 ◽  
Vol 87 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Vishwajeet Singh ◽  
Rahul Janak Sinha ◽  
S.N. Sankhwar ◽  
Anita Malik
Keyword(s):  
General Anesthesia ◽  
Percutaneous Nephrolithotomy ◽  
Epidural Anesthesia ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Combined Spinal Epidural ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

scholarly journals Nalbuphine versus dexmedetomidine for treatment of combined spinal-epidural post-anesthetic shivering in pregnant women undergoing cesarean section

2019 ◽  
Vol 47 (9) ◽  
pp. 4442-4453 ◽  
Author(s):  
Jing Sun ◽  
Zhao Zheng ◽  
Yi-Lu Li ◽  
Li-Wei Zou ◽  
Ge-Hui Li ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Epidural Anesthesia ◽  
Randomized Study ◽  
Saline Group ◽  
Elective Cesarean Section ◽  
Double Blind ◽  
Combined Spinal Epidural ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

Objective This study aimed to compare the clinical efficacy and side effects of nalbuphine and dexmedetomidine for treatment of combined spinal-epidural anesthetic shivering in women after cesarean section. Methods A total of 120 pregnant women, who underwent elective cesarean section under combined spinal-epidural anesthesia, were enrolled in a double-blind, randomized study. These women were randomized into three groups of 40 pregnant women each to receive either saline (group C), nalbuphine 0.07 mg/kg (group N), or dexmedetomidine 0.5 µg/kg (group D) for treatment of shivering after anesthesia. The main outcome measure was a significant reduction in the time required for shivering after intervention. Results The mean time to cessation of shivering in groups N and D was significantly shorter than that in group C (3.5±2.7 and 4.2±3.7 versus 14.5±1.4 minutes). The success rate of shivering treatment and Observer’s Assessment of Alertness/Sedation scores in groups N and D were significantly higher than those in group C, while the recurrence rate was lower than that in group C. Conclusion Nalbuphine 0.07 mg/kg can be used safely and effectively for shivering in pregnant women under combined spinal-epidural anesthesia.

Percutaneous Nephrolithotomy Under General Versus Combined Spinal-Epidural Anesthesia

2009 ◽  
Vol 23 (11) ◽  
pp. 1835-1838 ◽  
Author(s):  
Baris Kuzgunbay ◽  
Tahsin Turunc ◽  
Sule Akin ◽  
Pinar Ergenoglu ◽  
Anis Aribogan ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Epidural Anesthesia ◽  
Combined Spinal Epidural ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

scholarly journals Comparison of general anesthesia with endotracheal intubation, combined spinal-epidural anesthesia, and general anesthesia with laryngeal mask airway and nerve block for intertrochanteric fracture surgeries in elderly patients: a retrospective cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yang Liu ◽  
Mang Su ◽  
Wei Li ◽  
Hao Yuan ◽  
Cheng Yang
Keyword(s):  
Elderly Patients ◽  
General Anesthesia ◽  
Nerve Block ◽  
Epidural Anesthesia ◽  
Intertrochanteric Fracture ◽  
Combined Spinal Epidural ◽  
Variation Rate ◽  
Vas Scores ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

Abstract Background There is no consensus on the optimal anesthesia method for intertrochanteric fracture surgeries in elderly patients. Our study aimed to compare the hemodynamics and perioperative outcomes of general anesthesia with endotracheal intubation, combined spinal-epidural anesthesia, and general anesthesia with laryngeal mask airway (LMA) and nerve block for intertrochanteric fracture surgeries in elderly patients. Methods This is a retrospective study of 75 patients aged > 60 years scheduled for intertrochanteric fracture surgeries with general anesthesia with intubation (n = 25), combined spinal-epidural anesthesia (n = 25), and general anesthesia with LMA and nerve block (n = 25). The intraoperative hemodynamics were recorded, and the maximum variation rate was calculated. Postoperative analgesic effect was evaluated using the visual analog scale (VAS). Postoperative cognitive status was assessed using the Mini-Mental State Exam (MMSE). Results The maximum variation rate of intraoperative heart rate, systolic blood pressure, diastolic blood pressure differed significantly between the three groups (general anesthesia with intubation > combined spinal-epidural anesthesia > general anesthesia with LMA and nerve block). The VAS scores postoperative 2 h, 4 h, 6 h, and 8 h also differed significantly between the three groups (general anesthesia with intubation > combined spinal-epidural anesthesia > general anesthesia with LMA and nerve block). The VAS scores postoperative 24 h were significantly lower in the general anesthesia with LMA/nerve block group than the general anesthesia with intubation group and the combined spinal-epidural anesthesia group. The MMSE scores postoperative 15 min and 45 min differed significantly between the three groups (general anesthesia with intubation < combined spinal-epidural anesthesia < general anesthesia with LMA and nerve block). The MMSE scores postoperative 120 min in the general anesthesia with intubation group were the lowest among the three groups. There was no significant difference in the incidence of respiratory infection postoperative 24 h, 48 h, and 72 h between the three groups. Conclusion Compared to general anesthesia with intubation and combined spinal-epidural anesthesia, general anesthesia with LMA and nerve block had better postoperative analgesic effect and less disturbances on intraoperative hemodynamics and postoperative cognition for elderly patients undergoing intertrochanteric fracture surgeries.

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