Comparison of general anesthesia with spinal application in arthroscopic knee surgery regarding hemodynamic parameters

Objective: We aimed to compare general anesthesia applied with the combination of propofoldesfluran and single-sided spinal anesthesia with regards to hemodynamic parameters and discharge criteria. in patients undergoing daily arthroscopic knee surgery Methods: Cases were divided randomly into two groups. Group 1 (n: 20) is specified as general anesthesia group and Group 2 (n: 20) is specified as spinal anesthesia group. General anesthesia with propofol-desfluran has been applied to patients of Group 1 and spinal anesthesia with 10 mg 0.5% hyperbaric bupivacaine has been applied to the patients of Group 2. Results: Modified Aldrete Scores related to the patients of Group 2 were statically significantly lower than Group 1 because of the ongoing motor block. PADSS and Emesis Scores were similar in both groups. Starting of pain was statistically within a longer period in patients with Group 2 when compared to group 1 due to the ongoing organoleptic block. The differences in hemodynamic parameters between two groups were in concordance with the anesthesia method applied. Conclusion: It is concluded that one-sided spinal anesthesia provided with low dosed 0.5% hyperbaric bupivacaine intrathecal injection may be a good alternative to general anesthesia with propfol-desfluran. in patients undergoing daily arthroscopic knee surgery when its significant contribution to analgesia in postoperative period is considered

SUMMARY

Objective: We aimed to compare general anesthesia applied with the combination of propofol-desfluran and single-sided spinal anesthesia with regards to hemodynamic parameters and discharge criteria. in patients undergoing daily arthroscopic knee surgery

Methods: Cases were divided randomly into two groups. Group 1 (n: 20) is specified as general anesthesia group and Group 2 (n: 20) is specified as spinal anesthesia group. General anesthesia with propofol-desfluran has been applied to patients of Group 1 and spinal anesthesia with 10 mg 0.5% hyperbaric bupivacaine has been applied to the patients of Group 2.

Results: Modified Aldrete Scores related to the patients of Group 2 were statically significantly lower than Group 1 because of the ongoing motor block. PADSS and Emesis Scores were similar in both groups. Starting of pain was statistically within a longer period in patients with Group 2 when compared to group 1 due to the ongoing organoleptic block. The differences in hemodynamic parameters between two groups were in concordance with the anesthesia method applied.

Conclusion: It is concluded that one-sided spinal anesthesia provided with low dosed 0.5% hyperbaric bupivacaine intrathecal injection may be a good alternative to general anesthesia with propfol-desfluran. in patients undergoing daily arthroscopic knee surgery when its significant contribution to analgesia in postoperative period is considered.

Keywords: General anesthesia, spinal anesthesia, hemodynamic parameters, discharge criteria

 

ÖZET

Amaç: Günübirlik artroskopik diz cerrahisi uygulanan hastalarda spinal anestezi ile genel anestezinin hemodinamik parametreler ve taburculuk kriterleri açısından karşılaştırılmasını amaçladık.

Yöntem: Olgular randomize olarak iki gruba ayrıldı. Grup 1 (n: 20) genel anestezi grubu, Grup 2 (n:20) spinal anestezi grubu olarak belirlendi. Grup 1 hastalarına propofol-desfluran ile genel anestezi, Grup 2 hastalarına ise 10 mg %0,5 hiperbarik bupivakain ile spinal anestezi uygulanmıştır.

Bulgular: Grup 2’deki hastaların devam eden motor blok nedeniyle Modifiye Aldrete Skorları, Grup 1’deki hastalardan istatistiksel olarak anlamlı derecede düşüktü. PADSS ve Emezis Skorları ise her iki grupta benzerdi. Grup 2’deki hastalarda devam eden duyusal blok nedeniyle Grup 1’deki hastalara göre ağrı başlama zamanları istatistiksel olarak ileri derecede uzundu. İki grup arasındaki hemodinamik parametrelerdeki farklılıklar uygulanan anestezi şekliyle uyumluydu.

Sonuç: Günübirlik artroskopik diz cerrahisi uygulanan hastalarda düşük doz %0,5 hiperbarik bupivakainin intratekal enjeksiyonu ile sağlanan tek taraflı spinal anestezi uygulamasının özellikle postoperatif dönemdeki analjeziye olan önemli katkısı göz önünde tutulunca propofol-desfluran ile sağlanan genel anestezi uygulamasına iyi bir alternatif olabileceği kanaatine varıldı.

Anahtar sözcükler: Genel anestezi, spinal anestezi, hemodinamik parametreler, taburculuk kriterleri