Spinal anesthesia improves the early recovery profile of patients undergoing ambulatory knee arthroscopy

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
J WongD Tong

Abstract

We compared the recovery profiles, postoperative complications, perioperative OR utilization times, and times to discharge of patients undergoing ambulatory knee arthroscopy under spinal anesthesia (SA) or general anesthesia (GA). In this randomized, prospective study, 84 ASA I-II patients were randomized to receive either SA with 50 mg of 1% lidocaine, or a standardized GA. Postoperative pain, nausea and vomiting, sedation, OR utilization, postanesthesia care unit (PACU), and ambulatory surgical unit (ASU) recovery were compared. Patients in the GA group had more pain in the PACU than the SA group (61% vs 15%, P <0.01), and a higher incidence of PACU analgesic use (59% vs 7.5%, P <0.01). Patients in the SA group were able to drink and eat sooner than the GA group (83 +/- 23 vs 95 +/- 22 min, P <0.05 and 88 +/- 27 vs 105 +/- 29 min, P <0.01, respectively). The times to sit, walk, and void were similar. The length of PACU and ASU stay between the GA and SA groups were similar (67 +/- 17 vs 60 +/- 19 min, P >0.05 and 122 +/- 27 vs 127.9 +/- 31 min, P >0.05, respectively). The incidence of backache was higher in the SA group (35 vs 13.6%, P <0.05) than the GA group. However, the incidence of sore throat was higher in the GA compar...Continue Reading

References

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Citations

Aug 21, 2008·Anesthesia and Analgesia·Sung-Jin LeeKi-Young Lee
Oct 5, 2006·Current Opinion in Anaesthesiology·Michael F Mulroy
May 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M Girard, P Drolet
Oct 27, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dermot O'DonnellRichard Brull
Feb 5, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ahmet ErogluServet Kerimoglu
Jul 23, 2003·Anesthesia and Analgesia·Julia E PollockNayak L Polissar
Jun 23, 2005·International Anesthesiology Clinics·Michael F Mulroy, Francis V Salinas
Jul 23, 2013·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Cassie KuoStavros G Memtsoudis
Aug 30, 2008·Der Orthopäde·C J P Simanski
Sep 23, 2003·Anesthesia and Analgesia·Christopher J JankowskiTerese T Horlocker
Aug 23, 2003·European Journal of Anaesthesiology·E ErhanB Ozyar
Dec 13, 2007·Obesity Surgery·Jay B Brodsky, Harry J M Lemmens
Oct 22, 2008·Journal of Clinical Anesthesia·Felix R MontesMariana Cabrera

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