Abstract | BACKGROUND CONTEXT: PURPOSE: To investigate the safety and efficacy of epidural anesthesia in elective lumbar microdiscectomies. STUDY DESIGN: PATIENT SAMPLE: Forty-three patients scheduled for primary lumbar microdiscectomy. Two cohorts were formed and were studied separately; one observational of all the 43 patients, and a second cohort of 17 patients who agreed to enter in the randomized trial. OUTCOME MEASURES: The clinical outcome was determined by the presence of postoperative pain, the absence of anesthesia-related complications, and the overall postoperative recovery. METHODS: This was a prospective study. With institutional review board approval, 43 consecutive patients were enrolled in the study. However, only 17 patients agreed to be randomized to receive either general or epidural anesthesia for the procedure; the remaining 26 patients selected the type of anesthesia of their preference. Recorded data for all patients included: age; total surgical time; occurrence of nausea, vomiting, atelectasis, or cardiopulmonary complication; ability to arise out of bed on the day of surgery; and the total number of inpatient hospital days. Postoperative pain and satisfaction were assessed only in the randomized cohort. RESULTS: CONCLUSIONS:
|
Authors | Elias C Papadopoulos, Federico P Girardi, Andrew Sama, Ioannis P Pappou, Michael K Urban, Frank P Cammisa Jr |
Journal | The spine journal : official journal of the North American Spine Society
(Spine J)
2006 Sep-Oct
Vol. 6
Issue 5
Pg. 561-4
ISSN: 1529-9430 [Print] United States |
PMID | 16934728
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
|
Topics |
- Adult
- Anesthesia, Epidural
(methods)
- Diskectomy
(methods)
- Female
- Humans
- Lumbar Vertebrae
(surgery)
- Male
- Microsurgery
(methods)
- Middle Aged
- Pain
(etiology, prevention & control)
- Postoperative Nausea and Vomiting
(prevention & control)
- Prospective Studies
|