Akademik Veri Yönetim Sistemi
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.14, sa.1, ss.13-17, 2008 (Scopus)
Aim: In this study, we retrospectively compared the effect of loco-regional and epidural anesthesia techniques on intra-operative hemodynamic stability (requirement for inotropic and/or vasodilator agents, fluid administration) and postoperative systemic complications (infectious, cardiac, pulmonary, cerebral, renal and intestinal) in patients undergoing endovascular stent-graft insertion for the treatment of infrarenal aneurysms of the abdominal aorta. Materials and Method: The charts of patients undergoing this procedure between January 2004 and December 2006 were reviewed. Of the 32 patients undergoing this procedure, 20 had loco-regional anaesthesia (Group LA) and 12 had epidural anaesthesia (Group EA). Loco-regional anaesthesia was achieved with bilateral inguinal infiltration of 1 % prilocaine at a maximum dose of 8 mg kg-1 in Group LA. The epidural catheter was placed between L3-L5 and sensory block at the level of T10 was established with prilocaine, bupivacaine and fentanyl as a bolus dose in Group EA. Results: The mean anaesthesia time was significantly lower in Group LA (192±22 min. vs 229±25 min. p< 0.001). Intra-operative fluid administration and ephedrine usage were significantly higher in Group EA (p<0.001 and p<0.05, respectively). Requirements of both vasodilator and inotropic agents were not significantly different among the groups (p>0.05). Rate of systemic complications were similar in both groups (p>0.05) as was the hospital stay (p>0.05). There was no operative mortality. Conclusion: Due to the shorter duration of anaesthesia and less requirement of fluid replacement and ephedrine usage, loco-regional anaesthesia may be preferable to epidural anaesthesia in the absence of obesity and the need for an iliac artery access.