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Retrospective evaluation of outcomes in lumbar disc surgery with spinal anesthesia

Year 2014, Volume: 5 Issue: 1, 54 - 58, 01.03.2014
https://doi.org/10.5799/ahinjs.01.2014.01.0359

Abstract

Objective: We investigated feasibility, possible advantages and disadvantages of spinal anesthesia in lomber disc surgery. Methods: We retrospectively analyzed a total of 100 patients operated for elective lomber spinal surgery under spinal anesthesia. Results: Spinal anesthesia was sufficient for lumbar disc surgery in 97 of 100 patients. Three patients received general anesthesia due to insufficient spinal block. Allergic reaction was observed in one patient receiving general anesthesia, and treated with intravenous steroid and antihistaminic drugs. We observed bradycardia and hypotension necessitating ephedrine administration in eight patients, post dural puncture headache in 10 patients (two patients were discharged at 4 and 7 days later therefore), who received spinal anesthesia. Following spinal anesthesia, patients required first analgesic at 10th hour. Patients receiving general anesthesia demanded first analgesic in the post operative care unit. Conclusion: We are of the opinion that spinal anesthesia may be safely used in lumbar disc surgeries, provided that patients are not positioned until sufficient anxiolytic and spinal block are established. J Clin Exp Invest 2014; 5 (1): 54-58

References

  • Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of ran- domised trials. BMJ 2000;321:1493-1505.
  • Mclain RF, Bell GR, Kalfas I, et al. Complications asso- ciated with lumbar laminectomy: a comparison of spi- nal versus general anesthesia. Spine 2004;29:2542- 2547.
  • Demirel CB, Kalayci M, Ozkocak I, et al. A prospec- tive randomized study comparing perioperative out- come variables after epidural or general anesthesia for lumbar disc surgery. J Neurosurg Anesthesiol 2003;15:185-192.
  • Mclain RF, Kalfas I, Bell GR, et al. Comparison of spi- nal and general anesthesia in lumbar laminectomy surgery: a case-controlled analysis of 400 patients. J Neurosurg Spine 2005;2:17-22.
  • Attari MA, Mirhosseini SA, Honarmand A, and Safavi MR. Spinal anesthesia versus general anesthesia for elective lumbar spine surgery: A randomized clinical trial. J Res Med Sci 2011;16:524-529.
  • Jellish WS, Thalji Z, Stevenson K, and Shea J. A pro- spective randomized study comparing short- and intermediate-term perioperative outcome variables after spinal or general anesthesia for lumbar disk and laminectomy surgery. Anesth Analg 1996;83:559-564.
  • Smrcka M, Baudysova O, Juran V, et al. Lumbar disc surgery in regional anaesthesia-40 years of experi- ence. Acta Neurochir (Wien) 2001;143:377-381.
  • Çelik F, Tüfek A, Yıldırım ZB, et al. Spinal anestezide uygulanan bupivakain ve levobupivakainin etkinlikle- rinin karşılaştırılması. J Clin Exp Invest 2011;2:388- 391.
  • Doğan E, Kavak GÖ, Çelik F, et al. Apendektomi ope- rasyonlarında iki farklı intratekal levobupivakain do- zunun etkinliğinin karşılaştırılması. J Clin Exp Invest 2012;3:33-37.

Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi

Year 2014, Volume: 5 Issue: 1, 54 - 58, 01.03.2014
https://doi.org/10.5799/ahinjs.01.2014.01.0359

Abstract

Amaç: Lomber disk cerrahisinde spinal anestezinin uygulanabilirliğini, olası avantaj ve dezavantajlarını inceledik. Yöntemler: Spinal anestezi altında elektif olarak spinal cerrahi yapılan toplam 100 hasta retrospektif olarak incelendi. Bulgular: Yüz hastanın 97\'sinde lomber spinal cerrahi başarıyla gerçekleştirilmiş. Üç hastaya yetersiz spinal blok sağlanamaması nedeniyle genel anestezi uygulanmıştır. Genel anestezi uygulanan bir hastada roküronyum uygulaması sonrası alerjik reaksiyon gözlenmiş, intravenöz steroid ve antihistaminik ilaçlar ile tedavi edilmiştir. Spinal anestezi uygulanan sekiz hastada efedrin uygulanmasını gerektiren bradikardi ve hipotansiyon, 10 hastada dural ponksiyona bağlı baş ağrısı (iki hastanın taburculuğu 4 ve 7 güne uzadı) gözlenmiş. Spinal anestezi uygulanan hastalarda postoperatif ilk analjezik ihtiyacı ortalama 10. saatte oldu. Genel anestezi uygulanan hastaların üçü de derlenme odasında iken ek analjezik talebinde bulunmuş. Sonuç: Hastalarda anksiyoliz ve yeterli spinal blok sağlandıktan sonra pozisyon vermek koşuluyla, spinal anestezinin lomber disk cerrahilerinde güvenle uygulanabileceği kanaatindeyiz.

References

  • Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of ran- domised trials. BMJ 2000;321:1493-1505.
  • Mclain RF, Bell GR, Kalfas I, et al. Complications asso- ciated with lumbar laminectomy: a comparison of spi- nal versus general anesthesia. Spine 2004;29:2542- 2547.
  • Demirel CB, Kalayci M, Ozkocak I, et al. A prospec- tive randomized study comparing perioperative out- come variables after epidural or general anesthesia for lumbar disc surgery. J Neurosurg Anesthesiol 2003;15:185-192.
  • Mclain RF, Kalfas I, Bell GR, et al. Comparison of spi- nal and general anesthesia in lumbar laminectomy surgery: a case-controlled analysis of 400 patients. J Neurosurg Spine 2005;2:17-22.
  • Attari MA, Mirhosseini SA, Honarmand A, and Safavi MR. Spinal anesthesia versus general anesthesia for elective lumbar spine surgery: A randomized clinical trial. J Res Med Sci 2011;16:524-529.
  • Jellish WS, Thalji Z, Stevenson K, and Shea J. A pro- spective randomized study comparing short- and intermediate-term perioperative outcome variables after spinal or general anesthesia for lumbar disk and laminectomy surgery. Anesth Analg 1996;83:559-564.
  • Smrcka M, Baudysova O, Juran V, et al. Lumbar disc surgery in regional anaesthesia-40 years of experi- ence. Acta Neurochir (Wien) 2001;143:377-381.
  • Çelik F, Tüfek A, Yıldırım ZB, et al. Spinal anestezide uygulanan bupivakain ve levobupivakainin etkinlikle- rinin karşılaştırılması. J Clin Exp Invest 2011;2:388- 391.
  • Doğan E, Kavak GÖ, Çelik F, et al. Apendektomi ope- rasyonlarında iki farklı intratekal levobupivakain do- zunun etkinliğinin karşılaştırılması. J Clin Exp Invest 2012;3:33-37.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Vaner Köksal This is me

Ahmet Şen This is me

Başar Erdivanlı This is me

Bülent Özdemir This is me

Publication Date March 1, 2014
Published in Issue Year 2014 Volume: 5 Issue: 1

Cite

APA Köksal, V., Şen, A., Erdivanlı, B., Özdemir, B. (2014). Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi. Journal of Clinical and Experimental Investigations, 5(1), 54-58. https://doi.org/10.5799/ahinjs.01.2014.01.0359
AMA Köksal V, Şen A, Erdivanlı B, Özdemir B. Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi. J Clin Exp Invest. March 2014;5(1):54-58. doi:10.5799/ahinjs.01.2014.01.0359
Chicago Köksal, Vaner, Ahmet Şen, Başar Erdivanlı, and Bülent Özdemir. “Spinal Anestezi altında yapılan Lomber Disk Cerrahilerinin Retrospektif değerlendirmesi”. Journal of Clinical and Experimental Investigations 5, no. 1 (March 2014): 54-58. https://doi.org/10.5799/ahinjs.01.2014.01.0359.
EndNote Köksal V, Şen A, Erdivanlı B, Özdemir B (March 1, 2014) Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi. Journal of Clinical and Experimental Investigations 5 1 54–58.
IEEE V. Köksal, A. Şen, B. Erdivanlı, and B. Özdemir, “Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi”, J Clin Exp Invest, vol. 5, no. 1, pp. 54–58, 2014, doi: 10.5799/ahinjs.01.2014.01.0359.
ISNAD Köksal, Vaner et al. “Spinal Anestezi altında yapılan Lomber Disk Cerrahilerinin Retrospektif değerlendirmesi”. Journal of Clinical and Experimental Investigations 5/1 (March 2014), 54-58. https://doi.org/10.5799/ahinjs.01.2014.01.0359.
JAMA Köksal V, Şen A, Erdivanlı B, Özdemir B. Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi. J Clin Exp Invest. 2014;5:54–58.
MLA Köksal, Vaner et al. “Spinal Anestezi altında yapılan Lomber Disk Cerrahilerinin Retrospektif değerlendirmesi”. Journal of Clinical and Experimental Investigations, vol. 5, no. 1, 2014, pp. 54-58, doi:10.5799/ahinjs.01.2014.01.0359.
Vancouver Köksal V, Şen A, Erdivanlı B, Özdemir B. Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi. J Clin Exp Invest. 2014;5(1):54-8.