Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia

The British Journal of Surgery
Marc D SchmittnerT Luecke

Abstract

The aim of this randomized clinical trial was to determine whether spinal saddle block (SSB) is superior to total intravenous anaesthesia (TIVA) in perianal surgery. Suitable patients aged 18-75 years (American Society of Anesthesiologists grade I or II) scheduled to undergo perianal surgery were randomized to SSB (1.0 ml 0.5 per cent hyperbaric bupivacaine) or TIVA with propofol and fentanyl by means of a laryngeal mask. Cumulative consumption of analgesics within 24 h after surgery was recorded, and postoperative recovery and patient satisfaction were evaluated. A total of 201 patients were randomized. Supplemental analgesia within 24 h after surgery was required by 31 of 101 patients having SSB and 58 of 100 who had TIVA (P < 0.001). Median monitoring time in the recovery room was 5 (range 1-45) min for SSB versus 44 (4-148) min for TIVA (P < 0.001). Patients in the SSB group were able to eat and drink more quickly, although times to mobilization and micturition were not significantly different. Patients having SSB were more likely to describe the anaesthesia as 'better than expected'. SSB is superior to TIVA in patients undergoing perianal surgery in terms of analgesic consumption within 24 h after surgery and aspects of po...Continue Reading

References

Oct 1, 1978·Diseases of the Colon and Rectum·M L Prasad, H Abcarian
Dec 1, 1975·Archives of Surgery·J A Scoma
May 1, 1992·Diseases of the Colon and Rectum·R BledayJ G Buls
Nov 1, 1970·Anesthesia and Analgesia·J A Aldrete, D Kroulik
Jun 1, 1997·Acta Anaesthesiologica Scandinavica·M P CorbeyA M Frørup
Jun 18, 2002·British Journal of Anaesthesia·P P HigginsG Mezei
Jul 4, 2002·European Journal of Anaesthesiology·G R Oliveira de FilhoJ H S Garcia
Oct 29, 2002·Anesthesia and Analgesia·Chester C BuckenmaierSusan M Steele
Jan 29, 2003·Anesthesiology·Alain BorgeatCarlo A Schenker
Jul 1, 1957·American Journal of Surgery·E P SALVATI, M S KLECKNER
Nov 1, 1961·Anesthesia and Analgesia·E M BROWN, D S ELMAN
Mar 19, 2004·Regional Anesthesia and Pain Medicine·Peter W MattheyBrendan T Finucane
Apr 29, 2004·Plastic and Reconstructive Surgery·Zol B KrygerThomas A Mustoe
Nov 2, 2004·British Journal of Anaesthesia·P D W FettesJ A W Wildsmith
Mar 23, 2006·International Journal of Colorectal Disease·Takayuki ToyonagaMasao Tanaka
Jul 21, 2006·Pathophysiology of Haemostasis and Thrombosis·Paolo Prandoni
May 22, 2007·Anesthesia and Analgesia·Medhat R WassefArkadiy T Tsyrlin
Jun 19, 2007·Journal of Clinical Anesthesia·Zafar I SiddiquiDaniel B Carr
Nov 9, 2007·Current Opinion in Anaesthesiology·Anil Gupta

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Citations

Aug 13, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L A Hidalgo GrauX Suñol Sala
Jan 30, 2014·Acta Cirúrgica Brasileira·Ying ZhangDongping Shi
Apr 27, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Stephen ChoiImad T Awad
May 15, 2018·International Journal of Colorectal Disease·Volker GebhardtMarc D Schmittner

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