مرکز منطقه ای اطلاع رساني علوم و فناوري - Comparison of general anesthesia with spinal application in arthroscopic knee surgery regarding hemodynamic parameters

Abstract :

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.