Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study
Background and Aims: General anaesthesia (GA) is the preferred modality for breast surgeries; however, neuraxial anaesthesia can be performed in cases where GA poses a significant risk. We hypothesise that neuraxial blockade is a safe and effective alternative to GA in short-duration breast surgerie...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-10-01
|
| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ija.ija_629_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587217011212288 |
|---|---|
| author | G S Karthik Rangalakshmi Srinivasan R Sudheer M Amabareesha T S Monisha M Dilip Kumar |
| author_facet | G S Karthik Rangalakshmi Srinivasan R Sudheer M Amabareesha T S Monisha M Dilip Kumar |
| author_sort | G S Karthik |
| collection | DOAJ |
| description | Background and Aims:
General anaesthesia (GA) is the preferred modality for breast surgeries; however, neuraxial anaesthesia can be performed in cases where GA poses a significant risk. We hypothesise that neuraxial blockade is a safe and effective alternative to GA in short-duration breast surgeries.
Methods:
This randomised study included 30 patients of the American Society of Anesthesiologists physical status I and II, who were scheduled for elective breast surgeries of a duration of less than 90 min. Group I received thoracic spinal anaesthesia, while in Group II, standardised GA was administered. The primary outcome was the time to the first rescue analgesic, and the secondary outcomes were time to recovery, patient satisfaction and the cost incurred.
Results:
The demographic characteristics of both groups were comparable (P > 0.05). The time to first rescue analgesic in Group I was more than in Group II (P = 0.001). Patient satisfaction score was superior in Group I compared to Group II (P = 0.002). The average cost was lower in Group I compared to Group II (P = 0.002). Recovery was quicker in Group I than in Group II (P = 0.001). There were no significant haemodynamic disturbances or major complications in either group.
Conclusion:
Thoracic spinal anaesthesia is an excellent alternative to GA in terms of analgesic efficacy, patient satisfaction, recovery and cost-effectiveness for short-duration breast surgeries. |
| format | Article |
| id | doaj-art-63a355e14e26410598ef8f9b3bf1e1d5 |
| institution | Kabale University |
| issn | 0019-5049 0976-2817 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj-art-63a355e14e26410598ef8f9b3bf1e1d52025-01-24T15:06:40ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172024-10-01681090290810.4103/ija.ija_629_24Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded studyG S KarthikRangalakshmi SrinivasanR SudheerM AmabareeshaT S MonishaM Dilip KumarBackground and Aims: General anaesthesia (GA) is the preferred modality for breast surgeries; however, neuraxial anaesthesia can be performed in cases where GA poses a significant risk. We hypothesise that neuraxial blockade is a safe and effective alternative to GA in short-duration breast surgeries. Methods: This randomised study included 30 patients of the American Society of Anesthesiologists physical status I and II, who were scheduled for elective breast surgeries of a duration of less than 90 min. Group I received thoracic spinal anaesthesia, while in Group II, standardised GA was administered. The primary outcome was the time to the first rescue analgesic, and the secondary outcomes were time to recovery, patient satisfaction and the cost incurred. Results: The demographic characteristics of both groups were comparable (P > 0.05). The time to first rescue analgesic in Group I was more than in Group II (P = 0.001). Patient satisfaction score was superior in Group I compared to Group II (P = 0.002). The average cost was lower in Group I compared to Group II (P = 0.002). Recovery was quicker in Group I than in Group II (P = 0.001). There were no significant haemodynamic disturbances or major complications in either group. Conclusion: Thoracic spinal anaesthesia is an excellent alternative to GA in terms of analgesic efficacy, patient satisfaction, recovery and cost-effectiveness for short-duration breast surgeries.https://journals.lww.com/10.4103/ija.ija_629_24anaesthesiabreast surgerycost-effectivenessgeneral anaesthesiaspinal blocksubarachnoid blockthoracic spinal anaesthesia |
| spellingShingle | G S Karthik Rangalakshmi Srinivasan R Sudheer M Amabareesha T S Monisha M Dilip Kumar Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study Indian Journal of Anaesthesia anaesthesia breast surgery cost-effectiveness general anaesthesia spinal block subarachnoid block thoracic spinal anaesthesia |
| title | Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study |
| title_full | Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study |
| title_fullStr | Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study |
| title_full_unstemmed | Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study |
| title_short | Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study |
| title_sort | thoracic spinal anaesthesia an effective alternative to general anaesthesia in breast surgeries a randomised non blinded study |
| topic | anaesthesia breast surgery cost-effectiveness general anaesthesia spinal block subarachnoid block thoracic spinal anaesthesia |
| url | https://journals.lww.com/10.4103/ija.ija_629_24 |
| work_keys_str_mv | AT gskarthik thoracicspinalanaesthesiaaneffectivealternativetogeneralanaesthesiainbreastsurgeriesarandomisednonblindedstudy AT rangalakshmisrinivasan thoracicspinalanaesthesiaaneffectivealternativetogeneralanaesthesiainbreastsurgeriesarandomisednonblindedstudy AT rsudheer thoracicspinalanaesthesiaaneffectivealternativetogeneralanaesthesiainbreastsurgeriesarandomisednonblindedstudy AT mamabareesha thoracicspinalanaesthesiaaneffectivealternativetogeneralanaesthesiainbreastsurgeriesarandomisednonblindedstudy AT tsmonisha thoracicspinalanaesthesiaaneffectivealternativetogeneralanaesthesiainbreastsurgeriesarandomisednonblindedstudy AT mdilipkumar thoracicspinalanaesthesiaaneffectivealternativetogeneralanaesthesiainbreastsurgeriesarandomisednonblindedstudy |