Combination of General Anesthesia to Spinal and Epidural Techniques
Conditions
Brief summary
The combination of general anesthesia to spinal and epidural techniques (CSEGA) proved to have a synergistic effect, thus, the use of sub-anesthetic doses can provide satisfactory anesthetic and analgesic results. CSEGA has several known advantages including appropriate postoperative analgesia, shows some benefit in the intraoperative blood loss control causing a decreased need for blood transfusion, rapid regain of the gastrointestinal actions and decreases the incidence of postoperative respiratory complications. Unfortunately, the drawbacks of using neuro-axial anesthesia in combination to general anesthesia will be not thoroughly introduced in many researches, thus, remain unclear.
Interventions
received combined spinal-epidural-general anesthesia.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Inclusion criteria: * Patients aged from 18 to50 years. * ASA I-II. * undergoing elective liposuction surgery * BMI from 25 to 40 kg/m2 2.
Exclusion criteria
* Patient refusal * ASA III-IV. * Patients aged less than 18 or more than 50. * Body mass index \>40. * Any contraindications to neuro-axial block such as coagulopathy or spine deformity * Chronic opioid consumption, * History of parenteral or oral analgesic intake within the last 48hours.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| morphine consumption | 24 hours | postoperative morphine consumption |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative patient satisfaction | 24 hours | 1 = very unsatisfactory; 2 = unsatisfactory; 3 = indifferent; 4 = satisfactory; and 5 = very satisfactory. |
| Intraoperative surgeon satisfaction. | 6 hours | using 1-4 scales (1, bad; 2, moderate; 3, good; 4, excellent; |
| Incidence of complications | 24 hours | such as hypotension, bradycardia, nausea and vomiting, postoperative shivering, |
| Blood loss | 6 hours | intraoperative Blood loss |
Countries
Egypt