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Time to Discharge Patients From Day-Case Clinic Comparison Study between Patients Receivedspinal Versus General Anaesthesia

Author: Raghad Hannon Shinen Alsudani
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 4 Pages: 488-493
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACK GROUND:Day case surgery issurgery where patient returns home on same day of surgery, saving resources, money decreases in-patients number with rapid turnover. Question about the ideal type of anasthesia for such surgery is of interest of many studies.OBJECTIVE:To comparing time to discharge after perianal surgery for patient received spinal anasthesia versus patients received general anasthesia, sample was taken between February 2007,and July 2010, in a private day clinic in Baghdad.PATIENTS AND METHODS:Study included 200 patients ASA(I-II), age 18-60 years. One hundred patients had been received spinal anasthesia with small dose lidocaine 2%, other 100 were received general anasthesia with either propofol or pentothal.RESULTS:Indicate thatspinal anaesthesia with small dose lidocaine achieves shorter time to discharge patients versus general anasthesia; mean time for spinal anasthesia was 105.69min and for general was147.57 min.CONCLUSION: Spinal anaesthesia is a good option for outpatient surgery in comparison to general anasthesia regarding time to discharge patients, and we can achieve better results by simple manipulation in techniques and drug dosage which might decrease unwanted side effects of S.A.


Article
Comparison between Total Intravenous Anesthesia (TIVA) and Conventional General Anesthesia in Day Case Surgical Procedures

Authors: Iyad Abbas Salman --- Ali Yousif Mohammad
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: supplement Pages: 700-705
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Day case surgery should be of short duration, rapid recovery, and with low incidence of postoperative complications. For long time was done with conventional inhalational based anesthesia, in last year's, TIVA began to be used in these surgeries.OBJECTIVE:To evaluate total intravenous anesthesia (TIVA), as an aesthetic technique for day case procedures and to compare it with conventional inhalational based technique in terms of intra and postoperative hemodynamic and respiratory changes, postoperative recovery and postoperative vomiting.PATIENTS AND METHODS: This is a prospective randomized study has been done on 100 patient who underwent general anesthesia for short duration surgical procedure in AL- Jumhory teaching hospital in Al-Mosul city in Iraq, during the period between Nov 1st, 2011 and March 1st, 2012 , All patients were allocated into either TIVA or inhalational (INH) groups, of 50 patient each. In TIVA group: induction and maintenance of anesthesia done by propofol. While in INH group: maintenance of anesthesia done by halothane. Blood pressure, pulse rate, respiratory rate were monitored at a specific time. Recovery time was recorded according to Aldrete score. Any episode of vomiting was recorded.RESULTS: Aldrete score of ≥ 9 was achieved earlier in the TIVA group than in the INH group. It was also observed that there was initial fall in HR, MAP and respiratory rate in the both group, and post operative vomiting was less in the TIVA group.CONCLUSION: The time needed for recovery and episodes of postoperative vomiting in TIVA is less than in inhalational anesthesia.KEYWORDS: TIVA, propofol, day case surgery.

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