General Anesthesia Compared to Spinal Anesthesia for Patients Undergoing Lumbar Vertebral Surgery: A Meta-Analysis of Randomized Controlled Trials.
General Anesthesia Compared to Spinal Anesthesia for Patients Undergoing Lumbar Vertebral Surgery: A Meta-Analysis of Randomized Controlled Trials.
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DOI：
10.3390/jcm10010102
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发表时间：
2020-12-30
影响因子：
3.9
通讯作者：
Navalesi P
中科院分区：
文献类型：
--
作者：
De Cassai A;Geraldini F;Boscolo A;Pasin L;Pettenuzzo T;Persona P;Munari M;Navalesi P
腰椎手术可以在全身麻醉（GA）和脊柱麻醉下进行。脊髓麻醉（SA）的明显益处尚未得到证实。我们荟萃分析的目的是比较成年腰椎手术患者SA和GA后的早期镇痛疗效和恢复情况。采用以下标准进行系统调查：接受腰椎手术的成年患者(P)；单发SA (I)；有或没有伤口浸润的GA护理(C)；镇痛效果测量为术后疼痛、术中低血压、心动过缓、手术时间、出血量、术后副作用（如术后恶心/呕吐和尿潴留）、患者和外科医生的总体满意度和住院时间(O)；随机对照试验(S)。检索在Pubmed、Cochrane中央对照试验登记册和谷歌Scholar中进行，截止到2020年11月1日。在这次搜索中发现了11项研究。腰椎手术中的SA减少了术后疼痛和麻醉后护理单位的镇痛需求。它与术后恶心和呕吐发生率降低和患者满意度提高有关。它对尿潴留、术中心动过缓或低血压无影响。在腰椎手术中，SA是一种可行且有效的麻醉技术。
Vertebral lumbar surgery can be performed under both general anesthesia (GA) and spinal anesthesia. A clear benefit from spinal anesthesia (SA) remains unproven. The aim of our meta-analysis was to compare the early analgesic efficacy and recovery after SA and GA in adult patients undergoing vertebral lumbar surgery. A systematic investigation with the following criteria was performed: adult patients undergoing vertebral lumbar surgery (P); single-shot SA (I); GA care with or without wound infiltration (C); analgesic efficacy measured as postoperative pain, intraoperative hypotension, bradycardia, length of surgery, blood loss, postoperative side effects (such as postoperative nausea/vomiting and urinary retention), overall patient and surgeon satisfaction, and length of hospital stay (O); and randomized controlled trials (S). The search was performed in Pubmed, the Cochrane Central Register of Controlled Trials, and Google Scholar up to 1 November 2020. Eleven studies were found upon this search. SA in vertebral lumbar surgery decreases postoperative pain and the analgesic requirement in the post anesthesia care unit. It is associated with a reduced incidence of postoperative nausea and vomiting and a higher patient satisfaction. It has no effect on urinary retention, intraoperative bradycardia, or hypotension. SA should be considered as a viable and efficient anesthetic technique in vertebral lumbar surgery.
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影响因子：
1.1
作者：
Bajwa SJ;Haldar R
通讯作者：
Haldar R
影响因子：
5.1
作者：
De Cassai, Alessandro;Bonanno, Claudio;Munari, Marina
通讯作者：
Munari, Marina
影响因子：
9
作者：
Kennedy, Gregory D.;Tevis, Sarah E.;Kent, K. Craig
通讯作者：
Kent, K. Craig
试验顺序分析：简单明了。
影响因子：
2.9
作者：
De Cassai A;Pasin L;Boscolo A;Salvagno M;Navalesi P
通讯作者：
Navalesi P
影响因子：
105.7
作者：
Higgins, JPT;Thompson, SG;Altman, DG
通讯作者：
Altman, DG