Please use this identifier to cite or link to this item:
https://hdl.handle.net/20.500.14279/14993
Title: | Regional Anaesthesia versus General Anaesthesia in Endovascular Aneurysm Repair: The Surgical Nursing Interventions | Authors: | Fotis, Theo Mitsos, Aristotelis P Perdikides, Theodossios P. Lambrinou, Ekaterini Konstantinou, Evangelos Ant |
Major Field of Science: | Medical and Health Sciences | Field Category: | Health Sciences | Keywords: | Abdominal aortic aneurysm (AAA);Endovascular aneurysm repair (EVAR);General anaesthesia;Regional anaesthesia;Surgical nursing | Issue Date: | Feb-2009 | Source: | British Journal of Anaesthetic & Recovery Nursing, 2009, vol. 10, no. 1, pp. 11-14 | Volume: | 10 | Issue: | 1 | Start page: | 11 | End page: | 14 | Journal: | British Journal of Anaesthetic & Recovery Nursing | Abstract: | Minimally invasive surgical techniques are a revolutionary and innovative approach to the practice of surgery. Endovascular aneurysm repair (EVAR) may offer a number of significant advantages in comparison with conventional open surgical repair. The purpose of this study was to compare regional anaesthesia (RA) and general anaesthesia (GA) in EVAR, and to describe the surgical nursing interventions. This included a retrospective analysis of 160 consecutive patients (age 55 to 96 years) who underwent EVAR under: epidural anaesthesia (EDA = 60 patients), combined spinal and epidural anaesthesia (Combined = 40 patients) and GA = 60 patients. Results were successful in all patients and no mortality was noticed. Among the GA group, 11 patients needed ICU support while only 5 from the other 2 groups. Furthermore, a statistically significant difference regarding median hospital stay was also noticed in favour of the regional group. In conclusion, RA is a safe and effective anaesthetic method for endovascular repair of abdominal aneurysms, offering several advantages including simplicity, haemodynamic stability, less need for ICU management and reduced hospital stay. The anaesthetic nurse can play a major role in the management of this anaesthesia throughout the procedure. | URI: | https://hdl.handle.net/20.500.14279/14993 | ISSN: | 17442192 | DOI: | 10.1017/S1742645609000369 | Rights: | © Cambridge University Press | Type: | Article | Affiliation : | 251 Air Force General Hospital, Greece National and Kapodistrian University of Athens Cyprus University of Technology |
Publication Type: | Peer Reviewed |
Appears in Collections: | Άρθρα/Articles |
CORE Recommender
Items in KTISIS are protected by copyright, with all rights reserved, unless otherwise indicated.