At the moment , the evidence available can not prove that neuraxial anesthesia is more effective and safer than general anesthesia for urological surgery .
There were insufficient data to pool the results relating to mortality , stroke , myocardial infa rct ion , length of hospitalization , quality of life , degree of satisfaction , postoperative cognitive dysfunction and blood transfusion requirements
CONTEXT AND OBJECTIVE Choosing the best anesthetic technique for urological surgery with the aim of mortality reduction remains controversial .
The objective here was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for urological surgery .
General Anesthesia versus Epidural and General Anesthesia in Radical Cystectomy
Introduction : The aim of this study is to compare two different anesthetic techniques in radical cystectomy with regard to blood loss , transfusional requirements , intraoperative complications and the quality of analgesia . Material s and Methods : 50 patients scheduled for radical cystectomy were r and omized to two groups : group GA – general anesthesia , n = 25 and group CEGA – combined epidural and general anesthesia . The patients were monitored and hemodynamic changes , intraoperative bleeding , transfusional requirements , quality of analgesia and postoperative complications were evaluated . Results : There were no significant differences between the demographic characteristics of the two groups . Intraoperative bleeding which was 874.8 ± 190.7 ml in the CEGA group and 1,248.3 ± 343.4 ml in the GA group was statistically different ( p < 0.05 ) . Significantly more intraoperative blood transfusions in terms of units were required in the GA group . Analgesia was better in the CEGA group , with VAS values at 0 , 1 , 2 , 4 , 6 , 12 and 24 h significantly ( p < 0.05 ) lower than those observed in the GA group . No significant differences in intraoperative hemodynamic parameters or postoperative complications were noted between the two groups . Conclusions : Statistically significant differences in intraoperative bleeding were observed between the two groups : CEGA provides lower intraoperative bleeding and a better postoperative analgesia . Major operations such as radical cystectomy , which also is associated with considerable blood loss , a combination of general and epidural anesthesia may allow for less blood loss , with a better postoperative analgesia and without any increase in complications
At the moment , the evidence available can not prove that neuraxial anesthesia is more effective and safer than general anesthesia for urological surgery .
There were insufficient data to pool the results relating to mortality , stroke , myocardial infa rct ion , length of hospitalization , quality of life , degree of satisfaction , postoperative cognitive dysfunction and blood transfusion requirements
CONTEXT AND OBJECTIVE Choosing the best anesthetic technique for urological surgery with the aim of mortality reduction remains controversial .
The objective here was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for urological surgery .