Segmental epidural anesthesia for percutaneous kyphoplasty: Comparison with general anesthesia

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dc.contributor.authorApan, Alparslan
dc.contributor.authorÇuvaş Apan, Özgün
dc.contributor.authorKöse, Emine Arzu
dc.date.accessioned08.07.201910:49:13
dc.date.accessioned2019-07-08T20:19:08Z
dc.date.available08.07.201910:49:13
dc.date.available2019-07-08T20:19:08Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.description.abstractBackground/aim: This is a feasibility study evaluating whether segmental epidural anesthesia is an alternative anesthetic approach to general anesthesia for percutaneous kyphoplasty. Materials and methods: After ethics committee approval was obtained, 52 ASA class I–III patients scheduled for elective, single-level percutaneous kyphoplasty were recruited. The patients were divided into two equal groups. In Group E (Group Epidural) segmental epidural anesthesia was performed using the loss of resistance technique with saline. In Group G (Group Control) general anesthesia was performed. Hemodynamic parameters, intraoperative and postoperative analgesic requirements, visual analogue scale (VAS) scores, length of stay in the postanesthesia care unit (PACU), and complications were recorded. Results: Hemodynamics were similar between the two groups. Postoperative analgesic requirement was significantly higher in Group G than in Group E (P < 0.004). VAS scores were significantly lower in Group E than in Group G (P < 0.05). Time to first pain experience at the first postoperative 4 h was significantly longer and length of stay in the PACU was significantly shorter in Group E than in Group G (P < 0.001). Conclusion: Segmental epidural anesthesia is a safe anesthetic technique for percutaneous kyphoplasty. This technique offered advantages over general anesthesia in terms of postoperative analgesia, analgesic consumption, early recovery, and short PACU stay. Therefore, it should be considered a suitable anesthetic technique in patients undergoing single level percutaneous kyphoplasty.
dc.identifier.citationApan, A., Çuvaş Apan, Ö. ve Köse, E. A. (2016). Segmental epidural anesthesia for percutaneous kyphoplasty: Comparison with general anesthesia. Turkish Journal of Medical Sciences, 46(6), 1801-1807. https://dx.doi.org/10.3906/sag-1507-90
dc.identifier.endpage1807
dc.identifier.issn1300-0144
dc.identifier.issue6
dc.identifier.scopusqualityQ3
dc.identifier.startpage1801
dc.identifier.urihttps://hdl.handle.net/20.500.12511/617
dc.identifier.urihttps://dx.doi.org/10.3906/sag-1507-90
dc.identifier.volume46
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTubitak Scientific
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGeneral Anesthesia
dc.subjectEpidural Anesthesia
dc.subjectKyphoplasty
dc.subjectNeurosurgery
dc.titleSegmental epidural anesthesia for percutaneous kyphoplasty: Comparison with general anesthesia
dc.typeArticle

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