Key result
General anesthesia did not significantly reduce cardiac events or death compared to regional anesthesia in peripheral vascular surgery (absolute risk difference -1.6%; 95% CI -9.2%, 6.1%).
Why the study?
Does regional anesthesia reduce cardiac events or death compared to general anesthesia in patients undergoing peripheral vascular surgery?
Population
423 patients undergoing femoral to distal artery bypass surgery with a high likelihood of associated…
Comparison
Regional anesthesia vs General anesthesia (n=138)
Design
RCT, randomly assigned
Follow-up
4-5 days postoperatively
Authors
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Cardiac outcomes are similar with either anesthesia type in peripheral vascular surgery; confirms prior evidence of no difference.
RCT (n=423)
Randomly assigned
Does regional anesthesia reduce cardiac events or death compared to general anesthesia in patients undergoing peripheral vascular surgery?
Effect estimate: Absolute risk difference -1.6% (95% CI -9.2%, 6.1%)
The choice between general, epidural, or spinal anesthesia does not significantly impact postoperative cardiac morbidity or mortality in patients undergoing peripheral vascular surgery.
Bode et al. (1996) conducted an RCT in Peripheral vascular surgery (n=423). General anesthesia vs. Regional anesthesia (epidural or spinal) was evaluated on Cardiac event or death (Absolute risk difference -1.6%, 95% CI -9.2%, 6.1%). General anesthesia did not significantly reduce cardiac events or death compared to regional anesthesia in peripheral vascular surgery (absolute risk difference -1.6%; 95% CI -9.2%, 6.1%).
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