Key result
Spinal anaesthesia for open cholecystectomy resulted in a longer median pain-free interval (8 hours vs 1 hour) and significantly lower mean pain scores compared to general anaesthesia.
Why the study?
Does spinal anaesthesia improve post-operative pain and safety compared to general anaesthesia in patients undergoing open cholecystectomy?
Population
120 patients with uncomplicated symptomatic gallstone disease undergoing open cholecystectomy, ASA I or II…
Comparison
Spinal anaesthesia vs General anaesthesia
Design
RCT, Randomly categorized into SA group and GA group
Follow-up
48 hours post-surgery
Authors
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Spinal anaesthesia may be preferred for superior post-operative pain control in open cholecystectomy; confirms RCT benefits over general anaesthesia.
RCT (n=120)
randomly categorized
Does spinal anaesthesia improve post-operative pain and safety compared to general anaesthesia in patients undergoing open cholecystectomy?
Absolute Event Rate: 8% vs 1%
Spinal anaesthesia provides superior post-operative pain relief compared to general anaesthesia for uncomplicated open cholecystectomy, despite a higher incidence of easily managed intra-operative haemodynamic instability.
Dongol et al. (2016) conducted an RCT in uncomplicated symptomatic gallstone disease (n=120). Spinal anaesthesia vs. General anaesthesia was evaluated on median pain-free interval. Spinal anaesthesia for open cholecystectomy resulted in a longer median pain-free interval (8 hours vs 1 hour) and significantly lower mean pain scores compared to general anaesthesia.
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