Percutaneous vertebroplasty under epidural anesthesia : comparative study versus local anesthesia
المؤلفون المشاركون
Said, al-Farid M.
al-Sirwi, Hibah B.
Fahmi, Fadi M.
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 9، العدد 2 (30 يونيو/حزيران 2016)، ص ص. 267-273، 7ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2016-06-30
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Objectives This study aimed to evaluate percutaneous vertebroplasty ( PVP) under epidural ( EPI) anesthesia and its effect on patients’ and surgeons’ satisfaction.
Patients and methods Sixty-three patients undergoing thoracolumbar PVP were divided randomly as follows: the LA group received local anesthesia (LA) and the EPI group received EPI anesthesia as one preemptive shot of 8–10 ml plain levobupivacaine 0.25% (2.5 mg/ml).
PVP involved an injection of 4–8 ml polymethlymethacrylate into each treated vertebra.
Anesthetic outcome was defi ned as assessment of injection pain using a 10-point numeric rating scale, hemodynamic stability; effi cacy of postoperative (PO) analgesia and patients’ satisfaction were rated using the Iowa Satisfaction with Anesthesia Scale for monitored anesthesia care and surgeons’ satisfaction was evaluated using a seven-point Likert scale.
Surgical outcome was defi ned as patients’ disease-related pain levels assessed before and 24-h PO using numeric rating scale.
Results EPI anesthesia provided multiple advantages over LA; injection pain and anxiety-induced tachycardia and hypertension were signifi cantly lower.
EPI anesthesia allowed multiple-level PVP in the same setting with a single anesthetic injection; this was refl ected as signifi cantly higher surgeon and patient satisfaction.
PO pain was signifi cantly lower with EPI versus LA, with less need for PO analgesia.
Both groups showed PO improvement in their disease-related pain.
Conclusion EPI anesthesia is a safe and effective alternative for LA during PVP.
It allowed multiple-level corrections in the same setting, adequate hemodynamic stability and PO analgesia, and resulted in signifi cantly higher surgeon and patient satisfaction, especially those who had one-setting multiple-level corrections.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Said, al-Farid M.& al-Sirwi, Hibah B.& Fahmi, Fadi M.. 2016. Percutaneous vertebroplasty under epidural anesthesia : comparative study versus local anesthesia. Ain Shams Journal of Anesthesiology،Vol. 9, no. 2, pp.267-273.
https://search.emarefa.net/detail/BIM-688367
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Said, al-Farid M.…[et al.]. Percutaneous vertebroplasty under epidural anesthesia : comparative study versus local anesthesia. Ain Shams Journal of Anesthesiology Vol. 9, no. 2 (Apr. / Jun. 2016), pp.267-273.
https://search.emarefa.net/detail/BIM-688367
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Said, al-Farid M.& al-Sirwi, Hibah B.& Fahmi, Fadi M.. Percutaneous vertebroplasty under epidural anesthesia : comparative study versus local anesthesia. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 2, pp.267-273.
https://search.emarefa.net/detail/BIM-688367
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 272-273
رقم السجل
BIM-688367
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر