Key result
Spinal anesthesia resulted in significantly lower serum cortisol (p<0.01), glycemia (p<0.05), and heart rate (p<0.01) compared to general anesthesia in elective surgical patients.
Why the study?
Does spinal anesthesia reduce metabolic, hormonal, and hemodynamic stress responses compared to general anesthesia in elective surgical patients?
Population
Elective surgical patients undergoing the same surgery
Comparison
Spinal anesthesia vs General anesthesia
Design
Cohort
Follow-up
24 hours after surgery
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May favor spinal anesthesia to blunt surgical stress in elective cases; hypothesis-generating and requires randomized confirmation before practice change.
Cohort
Does spinal anesthesia reduce metabolic, hormonal, and hemodynamic stress responses compared to general anesthesia in elective surgical patients?
p-value: p=<0.01
Spinal anesthesia appears more effective than general anesthesia in suppressing the metabolic and hormonal stress response during elective surgery.
A 2014 study conducted a cohort in Elective surgical patients. Spinal anesthesia vs. General anesthesia was evaluated on Serum cortisol levels (p=<0.01). Spinal anesthesia resulted in significantly lower serum cortisol (p<0.01), glycemia (p<0.05), and heart rate (p<0.01) compared to general anesthesia in elective surgical patients.
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