BENEFICIAL IMPACT OF EPIDURAL-ANESTHESIA ON RECOVERY AFTER OUTPATIENT ARTHROSCOPY

被引：31

作者：

PARNASS, SM

MCCARTHY, RJ

BACH, BR

COREY, ER

HASSON, S

WERLING, MA

IVANKOVICH, AD

机构：

[1] Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois

来源：

ARTHROSCOPY | 1993年 / 9卷 / 01期

关键词：

GENERAL ANESTHESIA; EPIDURAL ANESTHESIA; OUTPATIENT SURGERY; SIDE EFFECTS; DISCHARGE TIMES;

D O I：

10.1016/S0749-8063(05)80351-2

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The ideal outpatient anesthetic provides analgesia, is readily reversible, has minimal complications, and allows for a prompt hospital discharge. Iatrogenic side effects, such as nausea/vomiting and pain, however, may hamper patient recovery and delay discharge. The influence of anesthesia [general (G) versus epidural (E)] was assessed in 260 patients (G = 181, E = 79) undergoing ambulatory knee arthroscopic surgery. Patients were studied before discharge and on follow-up (24 h) to evaluate the effect of the anesthetic technique. Discharge times were shorter in the E group (159 +/- 6 min SEM E, compared with 208 +/- 8 min SEM G), as was the incidence of pain (24.1% versus 49.7%), and nausea/vomiting (8.9% versus 32%) before discharge. Patient satisfaction was equal in the two groups. Our study shows that in select patients, epidural anesthesia is a viable alternative to general anesthesia for knee arthroscopy, offering the advantages of fewer side effects and earlier discharge times.

引用

页码：91 / 95

页数：5

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