Journal article
To compare general, epidural and local anaesthesia for endovascular aneurysm repair (EVAR).
- Bettex DA Division of Cardiovascular Anaesthesia, Institute of Anaesthesia, University Hospital of Zurich, Zurich, CH-8091, Switzerland.
- Lachat M
- Pfammatter T
- Schmidlin D
- Turina MI
- Schmid ER
- 2001-03-10
Published in:
- European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. - 2001
Adult
Aged
Aged, 80 and over
Anesthesia, Epidural
Anesthesia, General
Anesthesia, Local
Aortic Aneurysm, Abdominal
Female
Hemodynamics
Humans
Male
Middle Aged
Postoperative Complications
Retrospective Studies
English
OBJECTIVES
to compare general, epidural and local anaesthesia for endovascular aneurysm repair (EVAR).
METHODS
retrospective analysis of 91 consecutive patients (age 43 to 89 years) who underwent EVAR under local (LA, 63 patients), epidural (EDA, 8 patients) and general (GA, 20 patients) anaesthesia.
RESULTS
EVAR was successfully achieved in all patients without mortality or neurological, cardiac and respiratory complications. Vasopressive support as well as median fluid balance were significantly lessened in the LA group compared to GA group (p<0.0002). Stay in the Intensive Care Unit was necessary in 17 (27%), four (50%) and 14 (70%) patients, respectively, and median hospital stay was 3, 4.5, and 5.5 days, with a statistically significant difference between LA and GA group (p<0.0005).
CONCLUSION
LA is a safe anaesthetic method for the endovascular repair of infrarenal abdominal aneurysm, offering several advantages: simplicity, stable haemodynamics, and reduced consumption of ICU and hospital beds.
to compare general, epidural and local anaesthesia for endovascular aneurysm repair (EVAR).
METHODS
retrospective analysis of 91 consecutive patients (age 43 to 89 years) who underwent EVAR under local (LA, 63 patients), epidural (EDA, 8 patients) and general (GA, 20 patients) anaesthesia.
RESULTS
EVAR was successfully achieved in all patients without mortality or neurological, cardiac and respiratory complications. Vasopressive support as well as median fluid balance were significantly lessened in the LA group compared to GA group (p<0.0002). Stay in the Intensive Care Unit was necessary in 17 (27%), four (50%) and 14 (70%) patients, respectively, and median hospital stay was 3, 4.5, and 5.5 days, with a statistically significant difference between LA and GA group (p<0.0005).
CONCLUSION
LA is a safe anaesthetic method for the endovascular repair of infrarenal abdominal aneurysm, offering several advantages: simplicity, stable haemodynamics, and reduced consumption of ICU and hospital beds.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1053/ejvs.2000.1295
- PMID 11237794
- Persistent URL
- https://sonar.rero.ch/global/documents/163216
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