Variköz ven nedeniyle radyofrekans ablasyon yapılan hastalarda spinal anestezi ve larengeal maske hava yolu ile genel anestezi karşılaştırması

Amaç: Bu çalışmada variköz ven nedeniyle radyofrekans ablasyon yapılan hastalarda spinal anestezi ve larengeal maske hava yolu ile genel anestezinin etkinliği karşılaştırıldı. Çalışma planı: Mayıs 2012-Aralık 2016 tarihleri arasında larengeal maske hava yolu ile genel anestezi veya spinal anestezi altında radyofrekans ablasyon, varislerin çıkarılması ve perforan ven bağlanması yapılan toplam 2999 hasta (1067 erkek, 1932 kadın; ort. yaş 43 yıl; dağılım 19-70 yıl) retrospektif olarak incelendi. Hastanede yatış süresi, ameliyat sonrası Görsel Analog Ölçeği (GAÖ) skorları, hasta memnuniyeti, bulantı, kusma, boğaz ağrısı, baş ağrısı, sırt ağrısı ve üriner retansiyon dahil olmak üzere tıbbi kayıtlar kullanılarak veriler kaydedildi. Bulgular: Hastaların 2512’sine larengeal maske hava yolu ile genel anestezi ve 487’sine spinal anestezi uygulandı. Ortalama hastanede yatış süresi genel anestezi grubunda 10.7 saat ve spinal anestezi grubunda 22.5 saat idi ve bu fark istatistiksel olarak anlamlı idi (p

Spinal anesthesia versus general anesthesia with a laryngeal mask airway in patients undergoing radiofrequency ablation for varicose veins

Background: This study aims to compare the efficacy of spinal anesthesia and general anesthesia with a laryngeal mask airway in patients undergoing radiofrequency ablation for varicose veins.Methods: Between May 2012 and December 2016, a total of 2,999 patients (1,067 males, 1,932 females; mean age 43 years; range 19 to 70 years) who underwent radiofrequency ablation, removal of varices, and perforating vein ligation under general anesthesia with a laryngeal mask airway or spinal anesthesia were retrospectively analyzed. Data including duration of hospitalization, postoperative Visual Analog Scale (VAS) pain scores, patient satisfaction, nausea, vomiting, sore throat, headache, back pain, and urinary retention were recorded using medical records.Results: Of the patients, 2,512 received general anesthesia with laryngeal mask airway and 487 received spinal anesthesia. The mean duration of hospitalization was 10.7 h in the general anesthesia group and 22.5 h in the spinal anesthesia group, indicating a significant difference (p

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