Related Experiment Videos
Combined spinal-epidural anesthesia in laparoscopic appendectomy: a prospective feasibility study
Sinan Uzman1, Turgut Donmez2, Vuslat Muslu Erdem3
1Department of Anesthesiology and Reanimation, Haseki Training and Research Hospital, Istanbul, Turkey.
Annals of Surgical Treatment and Research
|April 7, 2017
Summary
Combined spinal-epidural anesthesia (CSEA) is effective for laparoscopic appendectomy (LA) in healthy patients, offering good pain control and minimal side effects. This anesthesia method demonstrates high patient satisfaction and avoids complications associated with general anesthesia.
Area of Science:
- Anesthesiology
- Surgical Procedures
Background:
- Laparoscopic appendectomy (LA) typically uses general anesthesia.
- Regional anesthesia options for LA are less explored.
Purpose of the Study:
- To assess the feasibility, efficacy, and side effects of combined spinal-epidural anesthesia (CSEA) for laparoscopic appendectomy.
- To evaluate patient satisfaction and postoperative pain management with CSEA.
Main Methods:
- Thirty-three American Society of Anesthesiologist (ASA) grade I patients underwent LA using CSEA via a needle-through-needle technique.
- Adverse events, patient satisfaction, and pain levels were recorded pre- and postoperatively.
Main Results:
- Laparoscopic appendectomy was successfully performed in 84.6% of patients under CSEA.
- Minor side effects included shoulder pain (24.1%) and abdominal discomfort (18.2%).
- Excellent postoperative pain control was observed, with no patients requiring analgesia within 6 hours, and 94% reported good to moderate satisfaction.
Conclusions:
- Combined spinal-epidural anesthesia is an efficient and suitable technique for LA in healthy ASA I patients.
- CSEA provides effective postoperative pain management and avoids intubation-related complications.
- The absence of postoperative nausea and vomiting (PONV) was noted.