Key result
Regional anaesthesia for EVAR is linked to ~73% less ICU support versus general anaesthesia.
Why the study?
Does regional anaesthesia reduce the need for ICU support and hospital stay compared to general anaesthesia in patients undergoing endovascular aneurysm repair?
Cohort (n=160)
Does regional anaesthesia reduce the need for ICU support and hospital stay compared to general anaesthesia in patients undergoing endovascular aneurysm repair?
Absolute Event Rate: 5% vs 18.3%
Regional anaesthesia during endovascular aneurysm repair is associated with a reduced need for postoperative ICU admission and shorter hospital length of stay compared to general anaesthesia.
May support regional anaesthesia in EVAR to limit ICU use and stay; hypothesis-generating, requiring randomized confirmation before practice change.
Background: Minimally invasive surgical techniques are a revolutionary and innovative approach to the practice of surgery. Endovascular aneurysm repair (EVAR) may offer a number of significant advantages in comparison with conventional open surgical repair. Aim: The purpose of this study was to compare regional anaesthesia (RA) and general anaesthesia (GA) in EVAR, and to describe the surgical nursing interventions. Methods: This included a retrospective analysis of 160 consecutive patients (age 55 to 96 years) who underwent EVAR under: epidural anaesthesia (EDA = 60 patients), combined spinal and epidural anaesthesia (Combined = 40 patients) and GA = 60 patients. Results: Results were successful in all patients and no mortality was noticed. Among the GA group, 11 patients needed ICU support while only 5 from the other 2 groups. Furthermore, a statistically significant difference regarding median hospital stay was also noticed in favour of the regional group. Conclusion: In conclusion, RA is a safe and effective anaesthetic method for endovascular repair of abdominal aneurysms, offering several advantages including simplicity, haemodynamic stability, less need for ICU management and reduced hospital stay. The anaesthetic nurse can play a major role in the management of this anaesthesia throughout the procedure.
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Fotis et al. (2009) conducted a cohort in Abdominal aneurysms (n=160). Regional anaesthesia vs. General anaesthesia was evaluated on ICU support. Regional anaesthesia for endovascular aneurysm repair was associated with a lower rate of ICU support (5.0% vs 18.3%) and a significantly shorter median hospital stay compared to general anaesthesia.
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