@article{10.11648/j.ja.20150301.11,
  author = {Sidharth Sraban Routray and Debadas Biswal and Khagaswar Raut and Kamalakanta Pradhan and Debasis Mishra and Jagannath Mishra},
  title = {Comparison of Surgical Outcome and Complications Between Spinal and General Anaesthesia for Patients Undergoing Percutaneous Nephrolithotomy},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ja.20150301.11},
  url = {https://doi.org/10.11648/j.ja.20150301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20150301.11},
  abstract = {Background: Percutaneous nephrolithotomy (PCNL) now a days is the treatment of choice for most renal stones, staghorn calculi and stones resistant to shock wave lithotripsy. Mostly PCNL is done under general anesthesia. However, it can be done under spinal anaesthesia which can have advantages like easier technique, faster discharge, reduced cost and recovery time and most important patient satisfaction. Aim: Unfortunately, few research studies have been conducted to compare regional and general anesthesia with respect to operative parameters. In the present study, we compared surgical outcomes and complications between percutaneous nephrolithotomy under spinal and general anesthesia. Materials and Method: 60 patients were divided into two groups of 30 each (GA/SA), who were undergone percutaneous nephrolithotomy under spinal and general anaesthesia. Patient’s general characteristics, stone features, surgical outcomes, and complications were compared between the two groups. All qualitative data and quantitative data were analyzed by chi square and student’s t test respectively. P value <0.05 was considered statistically significant. Result: The two groups were similar in terms of mean age and stone size, number, and type. Furthermore, they did not differ significantly in terms of general characteristics, treatment outcomes or complications excluding postoperative fever. However, mean hospital stay was significantly shorter in the regional anesthesia group than in the general anesthesia group (8.2±1.6 days vs. 12.5±2.8) days, respectively, (p=0.0001), Also, the postoperative fever rate was significantly higher in the general anesthesia group (82.5% vs 50%) respectively. (p=0.012). The treatment cost was 30$ in GA group and 10 $ in spinal group which was statistically significant. Also analgesia requirement on day 1 was more in GA group than SA group which was statistically significant. Conclusion: Regional anaesthesia is as effective as general anaesthlesia during percutaneous nephrolithotomy and is associated with shorter hospital stays, lower rates of postoperative fever, lower analgesic requirement and treatment cost.},
 year = {2015}
}

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TY  - JOUR
T1  - Comparison of Surgical Outcome and Complications Between Spinal and General Anaesthesia for Patients Undergoing Percutaneous Nephrolithotomy
AU  - Sidharth Sraban Routray
AU  - Debadas Biswal
AU  - Khagaswar Raut
AU  - Kamalakanta Pradhan
AU  - Debasis Mishra
AU  - Jagannath Mishra
Y1  - 2015/03/19
PY  - 2015
N1  - https://doi.org/10.11648/j.ja.20150301.11
DO  - 10.11648/j.ja.20150301.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ja.20150301.11
AB  - Background: Percutaneous nephrolithotomy (PCNL) now a days is the treatment of choice for most renal stones, staghorn calculi and stones resistant to shock wave lithotripsy. Mostly PCNL is done under general anesthesia. However, it can be done under spinal anaesthesia which can have advantages like easier technique, faster discharge, reduced cost and recovery time and most important patient satisfaction. Aim: Unfortunately, few research studies have been conducted to compare regional and general anesthesia with respect to operative parameters. In the present study, we compared surgical outcomes and complications between percutaneous nephrolithotomy under spinal and general anesthesia. Materials and Method: 60 patients were divided into two groups of 30 each (GA/SA), who were undergone percutaneous nephrolithotomy under spinal and general anaesthesia. Patient’s general characteristics, stone features, surgical outcomes, and complications were compared between the two groups. All qualitative data and quantitative data were analyzed by chi square and student’s t test respectively. P value <0.05 was considered statistically significant. Result: The two groups were similar in terms of mean age and stone size, number, and type. Furthermore, they did not differ significantly in terms of general characteristics, treatment outcomes or complications excluding postoperative fever. However, mean hospital stay was significantly shorter in the regional anesthesia group than in the general anesthesia group (8.2±1.6 days vs. 12.5±2.8) days, respectively, (p=0.0001), Also, the postoperative fever rate was significantly higher in the general anesthesia group (82.5% vs 50%) respectively. (p=0.012). The treatment cost was 30$ in GA group and 10 $ in spinal group which was statistically significant. Also analgesia requirement on day 1 was more in GA group than SA group which was statistically significant. Conclusion: Regional anaesthesia is as effective as general anaesthlesia during percutaneous nephrolithotomy and is associated with shorter hospital stays, lower rates of postoperative fever, lower analgesic requirement and treatment cost.
VL  - 3
IS  - 1
ER  - 

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