Evaluation of anesthesia methods in percutaneous kyphoplasty procedures in vertebral compression fractures

Year 2022, Volume: 4 Issue: 2, 167 - 171, 29.03.2022

Hamide Ayben Korkmaz , Ahmet Karaoğlu , İlkay Ceylan

https://doi.org/10.38053/acmj.1057021

Abstract

Aim: Kyphoplasty is a much less invasive technique than conventional methods to strengthen vertebral body fractures. This study aimed to demonstrate a safe and effective anesthesia method by retrospectively investigating the clinical conditions, perioperative pain experiences, and anesthesia methods of patients who underwent kyphoplasty in our institution.
Material and Method: A total of 76 patients who had kyphoplasty operations performed under elective conditions between January 2018 and March 2021 have been enrolled in this research. Demographic data of patients, injury mechanisms, anesthesia method, duration of surgery, severe perioperative complications (heart attack, lung disease, delirium, etc.), duration of postoperative stay in intensive care, pre and postoperative pain degrees with visual analogue scale (VAS) has been interpreted.
Results: There was a statistically significant difference between the groups in terms of duration of operation, duration of anesthesia, postoperative discharge time, postoperative 24-hour VAS score, intraoperative hemodynamic status, and presence in the post-anesthesia care unit (PACU) (p<0.05). The operation time, anesthesia time, postoperative discharge time, and the postoperative 24-hour VAS score of individuals with general anesthesia were higher than those under local anesthesia and sedation. Regarding intraoperative hemodynamic status, 37.5% of those under general anesthesia were stable, while 73.5% of individuals under local anesthesia and sedation were stable. While 37.5% of those under general anesthesia were in the post-anesthesia care unit, this rate was 7.4% in those under local anesthesia and sedation.
Conclusion: The most appropriate anesthesia type should be determined according to the patient’s individual health status. Each method has its advantages, such as no need for a stable position in general anesthesia and availability of motor functioning evaluation and verbal communication in local anesthesia; hence local anesthesia and sedoanalgesia were together. This seems to be more advantageous with the appropriate sedation.

Keywords

Kyphoplasty, vertebral fractures, general anesthesia, PACU

Supporting Institution

kurum yok

Project Number

-

Thanks

-

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