A Comparative Evaluation of General Anesthesia versus Spinal Anesthesia Combined with Paravertebral Block for Renal Surgeries: A Randomized Prospective Study
Sabry Mohamed Amin* and Ahmed Eldaba
Department of Anesthesiology and Surgical Intensive Care, Faculty of Medicine, Tanta University, Egypt
- *Corresponding Author:
- Sabry Mohamed Amin
Department of Anesthesiology and Surgical Intensive Care
Faculty of Medicine
Tanta University, Egypt
E-mail: [email protected]
Received date: May 09, 2016; Accepted date: May 30, 2016; Published date: June 02, 2016
Citation: Amin SM, Eldaba A (2016) A Comparative Evaluation of General Anesthesia versus Spinal Anesthesia Combined with Paravertebral Block for Renal Surgeries: A Randomized Prospective Study. J Anesth Clin Res 7:632. doi:10.4172/2155-6148.1000632
Copyright: © Amin SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: General anesthesia with endotracheal intubation has remained the most common technique used for open renal surgeries because of the abnormal body position and its ability to control the diaphragmatic movement during the surgery. Combined spinal and thoracic paravertebral block (TPVB) can be used as alternative technique for open renal surgery, where spinal anesthesia provides fast and reliable to start the surgery and the duration of anesthesia can be extended with a catheter in the paravertebral space. Aim of the work: To compare general anesthesia versus combined spinal/paravertebral block in patients undergoing open renal surgeries Patients and methods: The patients were classified according to anesthetic technique into two groups as follow: Group I: include 50 patients received combined spinal/ paravertebral block. Group II: include 50 patients received general anesthesia. Measurements: -HR and MABP - Surgeon satisfaction - Patient satisfaction - Postoperative analgesia -The time to first dose of analgesia- Side effects such as nausea and vomiting, and shivering were noted. Results: The MABP and HR were increased significantly in group II after intubation while it maintained stable in group I. The Time to first analgesic request was statistically significant longer in group I than group II. No significant differences were found as regards to surgeon's satisfaction between both groups. The patient's satisfaction was better in group I. The incidences of side effects were higher in group II than group I. Conclusion: Combined spinal and paravertebral block can be safely and effectively used in patients undergoing open renal surgeries.