Patients undergoing endovascular aortic aneurysm repair experience less pulmonary morbidity and shorter hospital stay when they receive spinal or local anesthesia instead of general anesthesia, according to a study published online in the Journal of Vascular Surgery.
The researchers, led by Matthew S. Edwards, MD, of Wake Forest University School of Medicine, studied 6,009 elective EVAR procedures that took place between 2005 and 2008 in the American College of Surgeons National Surgical Quality Improvement Program database.
The researchers found that general anesthesia was used in 81 percent of cases, spinal anesthesia in 7 percent, epidural anesthesia in 5.5 and local in 6.5.
The study found that the use of general anesthesia prolonged length of stay and was associated with increased pulmonary morbidity. There was no association between anesthesia type and mortality. Compared with general anesthesia, use of spinal or local/MAC anesthesia was associated with a 60-75 percent decrease in the odds of postoperative pulmonary complications.
Read the abstract of the study on TCTMD.
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The researchers, led by Matthew S. Edwards, MD, of Wake Forest University School of Medicine, studied 6,009 elective EVAR procedures that took place between 2005 and 2008 in the American College of Surgeons National Surgical Quality Improvement Program database.
The researchers found that general anesthesia was used in 81 percent of cases, spinal anesthesia in 7 percent, epidural anesthesia in 5.5 and local in 6.5.
The study found that the use of general anesthesia prolonged length of stay and was associated with increased pulmonary morbidity. There was no association between anesthesia type and mortality. Compared with general anesthesia, use of spinal or local/MAC anesthesia was associated with a 60-75 percent decrease in the odds of postoperative pulmonary complications.
Read the abstract of the study on TCTMD.
Related Articles on Anesthesia:
Anesthesiologist Dr. Marshall Joins Joins North Dakota's Medcenter One
Florida Anesthesiologists Launch National Consulting Firm
Pennsylvania Anesthesiologist Pleads Guilty to Tax Case in Federal Court