Key result
General anesthesia with a laryngeal mask airway and spinal anesthesia resulted in significantly shorter mean times to discharge from the PACU (24.80 min and 23.52 min) compared to endotracheal intubation (54.60 min, P < 0.001).
Why the study?
With the prevalence of geriatric surgery and anesthesia in the aging population rapidly increasing, the study aimed to compare the efficacy of various anesthetic methods in an ambulatory elderly population.
Does general anesthesia with laryngeal mask airway or spinal anesthesia improve PACU discharge time compared to general anesthesia with endotracheal intubation in elderly patients undergoing day surgery?
Cohort (n=150)
No
Does general anesthesia with laryngeal mask airway or spinal anesthesia improve PACU discharge time compared to general anesthesia with endotracheal intubation in elderly patients undergoing day surgery?
In elderly patients undergoing day surgery, general anesthesia with a laryngeal mask airway and spinal anesthesia resulted in significantly shorter PACU discharge times and less analgesic usage compared to general anesthesia with endotracheal intubation.
Shorter PACU times were associated with LMA or spinal anesthesia in this cohort; leaves open whether these techniques improve recovery in elderly day surgery.
The prevalence of geriatric surgery is rapidly increasing and, concomitantly, the procedure of anesthesia in the aging population. As a result, the goal of this research was to compare the efficacy of various anesthetic methods used in an ambulatory elderly population.
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Janvier et al. (2022) conducted a cohort in Elderly patients undergoing day surgery (n=150). General anesthesia with laryngeal mask airway (LMA) vs. General anesthesia with endotracheal intubation (ETT) and Spinal anesthesia (SA) was evaluated on Discharge time from the post-anesthesia care unit (PACU) in minutes (p=< 0.001). General anesthesia with a laryngeal mask airway and spinal anesthesia resulted in significantly shorter mean times to discharge from the PACU (24.80 min and 23.52 min) compared to endotracheal intubation (54.60 min, P < 0.001).
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