Key result
Regional anaesthesia is linked to lower one-hour post-operative pain scores vs general anaesthesia.
Why the study?
The study was conducted to compare the effectiveness and safety of general anaesthesia versus regional anaesthesia in urological procedures using the Visual Analogue Scale.
Does general anaesthesia compared to regional anaesthesia improve post-operative pain and satisfaction in patients undergoing urological procedures?
Cohort (n=52)
Does general anaesthesia compared to regional anaesthesia improve post-operative pain and satisfaction in patients undergoing urological procedures?
Regional anaesthesia for urological procedures is associated with lower early post-operative pain and analgesic consumption, though general anaesthesia provides higher overall patient satisfaction.
May favor regional anaesthesia to limit early post-operative pain in urological procedures; hypothesis-generating for satisfaction and needs randomized confirmation.
Background: A Visual Analogue Scale (VAS) is a measurement that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured [1]. The 100 mm visual analogue scale (VAS) score is widely used to measure pain intensity after surgery. The main objective here is to compare the effectiveness and safety of general anaesthesia (GA) vs. regional anaesthesia (RA) in urological procedures with the help of VAS. Methods: We enrolled a sequential, unselected cohort of fifty-two patients on arrival from surgery and used a VAS to quantify pain intensity. We compared changes in the VAS among patients who received either GA or RA for urological procedures. Patient’s comorbidities, vitals, pain visual analogue scale (VAS) are evaluated. Intraoperative and post-operative complications were recorded. Results: Vital parameters were maintained at safe values throughout the procedure in both groups. Visual analogue pain score was lower in regional anaesthesia till one hour mark of post-operative period as compared with GA cluster (P <0.05). Patients in regional anaesthesia recorded lower consumption of analgesics during the post-operative day-0 as compared with GA cluster (P < 0.05). Post-operative shivering was higher in RA cluster than GA cluster (8% vs. 2%) whereas nausea and fever was higher in GA cluster than RA cluster (5% vs. 2% and 4% vs. 1% respectively). However, Patients in GA cluster recorded higher overall satisfaction scores than RA cluster. Conclusion: Both GA and RA were effective and safe in Percutaneous Nephrolithotomy. It is observed that PCNL under RA was associated with significantly shorter operative time and hospital stay. Furthermore, postoperative pain scores were low, lower nausea and/or vomiting, and reduced analgesic requirements were noted in the RA group. However, GA provides heaps of satisfaction for patients.
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Madhumithra et al. (2021) conducted a cohort in Urological procedures (Percutaneous Nephrolithotomy) (n=52). Regional anaesthesia vs. General anaesthesia was evaluated on Visual analogue pain score (VAS) up to one hour post-operatively (p=<0.05). Regional anaesthesia for urological procedures resulted in lower visual analogue pain scores up to one hour post-operatively compared to general anaesthesia (P<0.05).
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