alexa Postoperative Quality of Recovery after General Anesthesia with Local Infiltration or Spinal Anesthesia for Inguinal Hernia Repair: A Prospective, Randomized Clinical Trial| Abstract
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
  • Research Article   
  • J Anesth Clin Res 2019, Vol 10(6): 894

Postoperative Quality of Recovery after General Anesthesia with Local Infiltration or Spinal Anesthesia for Inguinal Hernia Repair: A Prospective, Randomized Clinical Trial

Eduardo T Moro1, Miller F Lambert1*, Felipe Augusto Horácio Ribeiro1, Murilo Sunica Targueta1, Helena Torricelli Pancevski1, Thiago Patrício De Lima1 and Joshua Bloomstone2
1Department of Surgery, School of Medical and Health Sciences, Pontifical Catholic University of São Paulo, PUC-SP, São Paulo, Brazil
2Department of Surgery, University of Arizona College of Medicine-Phoenix, London, England
*Corresponding Author : Dr. Miller F Lambert, Department of Surgery, School of Medical and Health Sciences, Pontifical Catholic University of São Paulo, PUC-SP, São Paulo, Brazil, Tel: 55-15-996968401, Fax: 55-15-32129900, Email: [email protected]

Received Date: May 20, 2019 / Accepted Date: Jun 06, 2019 / Published Date: Jun 13, 2019

Abstract

Background: Inguinal hernia repair can be performed using different anesthetic techniques. Although local anesthesia seems to be more cost-effective, spinal and general anesthesia remains very popular as alternatives or even as first-choice techniques. This randomized clinical trial evaluated the quality of recovery among patients submitted to hernioplasty under one of two techniques: general anesthesia using a laryngeal mask and a field block (GA) or spinal anesthesia (SA).

Methods: Seventy patients were randomized to one of two groups: GA or SA. The quality of recovery was assessed using a 40-item scoring system (Quality of Recovery Questionnaire-QoR-40). Early clinical recovery variables, such as the time from the end of surgery to exiting the operating room (OR), the time to fulfillment of the post-anesthesia care unit (PACU) discharge criteria, the occurrence of nausea, vomiting, urinary retention, postoperative pain, and the length of the PACU stay, were also assessed.

Results: No significant differences were observed between groups when comparing the total or individual dimension scores of the QoR-40 questionnaire. The mean time from the end of surgery to exiting the OR was longer in the GA group than in the SA group (P<0.01). The patients in the SA group required a longer time to meet the PACU discharge criteria (P<0.01). The occurrence rates of nausea, vomiting, urinary retention and pain did not differ among the groups.

Conclusions: Quality of Recovery did not differ between patients who underwent inguinal hernia repair under GA or SA as assessed by the QoR-40 questionnaire.

Keywords: Quality of recovery; Questionnaire; Inguinal hernia repair; Postoperative pain; Spinal anesthesia; General anesthesia; Local infiltration; Anesthesia recovery period; Quality indicators

Citation: Moro ET, Lambert MF, Ribeiro FAH, Targueta MS, Pancevski HT, et al. (2019) Postoperative Quality OF Recovery after General Anesthesia with Local Infiltration or Spinal Anesthesia for Inguinal Hernia Repair: A Prospective, Randomized Clinical Trial. J Anesth Clin Res 10: 894.

Copyright: © 2019 Moro ET, 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.

Leave Your Message 24x7
Top