Key result
Spinal subarachnoid analgesia was associated with a lower post-operative mortality rate (6%) compared to general anaesthesia with narcotic analgesics (33.33%) or inhalational agents (38%) in patients with acute abdomen.
Why the study?
Patients with acute abdomen present significant anaesthetic challenges, prompting this evaluation of intraoperative and postoperative complications related to anaesthetic management.
Does the choice of anaesthetic technique affect complications and mortality in patients undergoing surgery for acute abdomen?
Population
Around 300 patients suffering from acute abdomen operated during routine or emergency
Comparison
GA with narcotics and relaxants vs GA with inhalational agents vs spinal subarachnoid analgesia
Design
Randomized clinical study
Authors
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Should not yet change anaesthetic practice in acute abdomen; leaves open whether mortality difference reflects technique or preoperative condition.
Observational (n=300)
No
Does the choice of anaesthetic technique affect complications and mortality in patients undergoing surgery for acute abdomen?
Absolute Event Rate: 6% vs 33.33%
Mortality and complications in acute abdomen surgery are highly dependent on preoperative patient condition, including ASA grade and degree of dehydration, as well as the duration of surgery.
Saksena et al. (2018) conducted an observational in Acute abdomen (n=300). Spinal subarachnoid analgesia vs. General anaesthesia was evaluated on Post-operative mortality. Spinal subarachnoid analgesia was associated with a lower post-operative mortality rate (6%) compared to general anaesthesia with narcotic analgesics (33.33%) or inhalational agents (38%) in patients with acute abdomen.
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