Is Spinal Anesthesia with Low Dose Lidocaine Better than Sevoflorane Anesthesia in Patients Undergoing Hip Fracture Surgery | ||
The Archives of Bone and Joint Surgery | ||
مقاله 5، دوره 5، شماره 4، مهر 2017، صفحه 226-230 اصل مقاله (409.13 K) | ||
نوع مقاله: RESEARCH PAPER | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2017.15730.1385 | ||
نویسندگان | ||
Mohammad Haghighi1؛ Abbas Sedighinejad1؛ Bahram Naderi Nabi1؛ Mohsen Mardani-kivi2؛ Samaneh Ghazanfar Tehran1؛ Seyed Abdollah Mirfazli3؛ Ahmad Reza Mirbolok* 2؛ Nasim Ashoori Saheli1 | ||
1Anesthesiology Research Center, Guilan University of Medical Sciences (GUMS), Rasht, Iran | ||
2Orthopedic Research Center, Guilan University of Medical Sciences (GUMS), Rasht, Iran | ||
3Shahid Beheshti University of Medical Sciences (SBUMC), Tehran, Iran | ||
چکیده | ||
Background: To evaluate general anesthesia with sevoflurane vs spinal anesthesia with low dose lidocaine 5% on hemodynamics changes in patients undergoing hip fracture surgery. Methods: In this randomized double blind trial 100 patients (50 patients in each group) older than 60 years under hip surgery were randomized in general anesthesia with sevoflurane and spinal anesthesia with lidocaine 5%. Hemodynamic changes including mean arterial pressure (MAP) and heart rate, blood loss, pain severity, nausea and vomiting and opioids consumption were compared in two groups. Results: During surgery, difference between two groups regarding changes in mean arterial pressure was not significant, but the changes in heart rate were significantly different. Mean arterial pressure changes during recovery between two groups were significantly different. But there was no significant difference in heart rate changes. Bleeding in the sevoflurane group was significantly more than spinal group (513.ml vs. 365 ml). Moreover, AS Score, opioid consumption, and the nausea and vomiting in spinal anesthesia group was significantly lower than the sevoflurane group. Conclusion: We showed that general anesthesia with sevoflurane and spinal anesthesia with low dose lidocaine 5% have comparable effects on hemodynamics changes in patients undergoing hip fracture surgery. However postoperative pain score, vomiting and morphine consumption in patients with spinal anesthesia were lower than general anesthesia. | ||
کلیدواژهها | ||
General anesthesia؛ Hip surgery؛ Regional؛ sevoflurane | ||
مراجع | ||
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