scholarly journals Efficiency of spinal anesthesia versus general anesthesia for lumbar spinal surgery: a retrospective analysis of 544 patients

2017 ◽  
Vol Volume 10 ◽  
pp. 91-98 ◽  
Author(s):  
John Pierce ◽  
Guy Kositratna ◽  
Mark Attiah ◽  
Michael Kallan ◽  
Rebecca Koenigsberg ◽  
...  
2009 ◽  
Vol 50 (2) ◽  
pp. 252 ◽  
Author(s):  
Soo Hwan Kim ◽  
Dong-Hyuk Jeon ◽  
Chul Ho Chang ◽  
Sung-Jin Lee ◽  
Yang-Sik Shin

2019 ◽  
Vol 8 (4) ◽  
pp. 498 ◽  
Author(s):  
Seok Kyeong Oh ◽  
Woo-Keun Kwon ◽  
Sangwoo Park ◽  
Sul Gi Ji ◽  
Joo Han Kim ◽  
...  

We aimed to investigate operating conditions, postoperative pain, and overall satisfaction of surgeons using deep neuromuscular blockade (NMB) vs. no NMB in patients undergoing lumbar spinal surgery under general anesthesia. Eighty-three patients undergoing lumbar fusion were randomly assigned to receive deep NMB (n = 43) or no NMB (n = 40). In the deep-NMB group, rocuronium was administered to maintain deep NMB (train-of-four count 0, post-tetanic count 1–2) until the end of surgery. In the no-NMB group, sugammadex 4 mg/kg at train-of-four (TOF) count 0–1 or sugammadex 2 mg/kg at TOF count ≥2 was administered to reverse the NMB 10 min after placing the patient prone. Peak inspiratory airway pressure, plateau airway pressure, lumbar retractor pressure significantly were lower in the deep-NMB group. Degree of surgical field bleeding (0–5), muscle tone (1–3), and satisfaction (1–10) rated by the surgeon were all superior in the deep-NMB group. Pain scores, rescue fentanyl consumption in post-anesthesia care unit (PACU), and postoperative patient-controlled analgesia consumption were significantly lower in the deep-NMB group, and this group had a shorter length of stay in PACU. Compared to no NMB, deep NMB provides better operating conditions, reduced postoperative pain and higher overall satisfaction in lumbar spinal surgery.


Spine ◽  
2013 ◽  
Vol 38 (4) ◽  
pp. E217-E222 ◽  
Author(s):  
Roger Kirk Owens ◽  
Charles H. Crawford ◽  
Mladen Djurasovic ◽  
Chelsea E. Canan ◽  
Lauren O. Burke ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document