Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications
Objectives The appropriate anesthesia method in patients requiring surgical treatment with confirmed or suspected new coronavirus disease (COVID-19) is unclear. This study aimed to compare regional anesthesia (RA) with general anesthesia (GA) in patients with COVID-19 infection in terms of admission...
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| Format: | Article |
| Language: | English |
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Sakarya University
2023-03-01
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| Series: | Sakarya Tıp Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/2457692 |
| _version_ | 1797350362658635776 |
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| author | Onur Balaban Bedirhan Günel Havva Kocayigit Fatih Şahin |
| author_facet | Onur Balaban Bedirhan Günel Havva Kocayigit Fatih Şahin |
| author_sort | Onur Balaban |
| collection | DOAJ |
| description | Objectives
The appropriate anesthesia method in patients requiring surgical treatment with confirmed or suspected new coronavirus disease (COVID-19) is unclear. This study aimed to compare regional anesthesia (RA) with general anesthesia (GA) in patients with COVID-19 infection in terms of admission to intensive care unit (ICU), rate of pulmonary complications, and mortality.
Materials and Methods
We reviewed medical records between March 2020 and December 2021 added patients with COVID-19 that operated under RA or GA in the study. The patients were assigned into two groups: 1. patients operated under RA and 2. patients operated under GA. Primary outcomes were admission rates to the ICU, acute pulmonary, renal, and hepatic complications, and perioperative mortality rates.
Results
We included 123 patients in the study. Regional anesthesia was significantly higher in the cohort. 97 (78.9 %) patients were operated under RA and 26 (21.1 %) patients under GA. The admission rate to ICU was 8.2 %in the RA group and 11.5 %in the GA group. The difference was not significant (p=0.422). Pulmonary complications were seen in 6 (6.2 %) patients in the RA group and 2 (7.7 %) patients in the GA group without a significant difference (p=0.535). Perioperative mortality rates were comparable between groups (5.2 %in the RA group vs. 7.7 %in the GA group) (p=0.535).
Conclusion
Pulmonary complications, ICU admission, and perioperative mortality rates were lower in COVID-19 patients operated under regional anesthesia; however, the differences were not significant. |
| first_indexed | 2024-03-08T12:44:44Z |
| format | Article |
| id | doaj.art-c55ab06ae21949618e8226a546f0a8cd |
| institution | Directory Open Access Journal |
| issn | 2146-409X |
| language | English |
| last_indexed | 2024-03-08T12:44:44Z |
| publishDate | 2023-03-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Tıp Dergisi |
| spelling | doaj.art-c55ab06ae21949618e8226a546f0a8cd2024-01-21T07:40:11ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2023-03-01131273410.31832/smj.112383228Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary ComplicationsOnur Balaban0Bedirhan Günel1Havva Kocayigit2Fatih Şahin3Sakarya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve ReanimasyonSakarya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyonsakarya üniversitesi eğitim ve araştırma hastanesi anesteziyoloji ve reanimasyon kliniğisakarya üniversitesi eğitim ve araştırma hastanesi anesteziyoloji ve reanimasyon kliniğiObjectives The appropriate anesthesia method in patients requiring surgical treatment with confirmed or suspected new coronavirus disease (COVID-19) is unclear. This study aimed to compare regional anesthesia (RA) with general anesthesia (GA) in patients with COVID-19 infection in terms of admission to intensive care unit (ICU), rate of pulmonary complications, and mortality. Materials and Methods We reviewed medical records between March 2020 and December 2021 added patients with COVID-19 that operated under RA or GA in the study. The patients were assigned into two groups: 1. patients operated under RA and 2. patients operated under GA. Primary outcomes were admission rates to the ICU, acute pulmonary, renal, and hepatic complications, and perioperative mortality rates. Results We included 123 patients in the study. Regional anesthesia was significantly higher in the cohort. 97 (78.9 %) patients were operated under RA and 26 (21.1 %) patients under GA. The admission rate to ICU was 8.2 %in the RA group and 11.5 %in the GA group. The difference was not significant (p=0.422). Pulmonary complications were seen in 6 (6.2 %) patients in the RA group and 2 (7.7 %) patients in the GA group without a significant difference (p=0.535). Perioperative mortality rates were comparable between groups (5.2 %in the RA group vs. 7.7 %in the GA group) (p=0.535). Conclusion Pulmonary complications, ICU admission, and perioperative mortality rates were lower in COVID-19 patients operated under regional anesthesia; however, the differences were not significant.https://dergipark.org.tr/tr/download/article-file/2457692rejyonel anestezigenel anestezicovi̇d-19ybü kabulüpulmoner komplikasyonlarregional anesthesiageneral anesthesiacovid-19icu admissionpulmonary complications |
| spellingShingle | Onur Balaban Bedirhan Günel Havva Kocayigit Fatih Şahin Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications Sakarya Tıp Dergisi rejyonel anestezi genel anestezi covi̇d-19 ybü kabulü pulmoner komplikasyonlar regional anesthesia general anesthesia covid-19 icu admission pulmonary complications |
| title | Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications |
| title_full | Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications |
| title_fullStr | Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications |
| title_full_unstemmed | Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications |
| title_short | Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications |
| title_sort | regional anesthesia vs general anesthesia in patients with covid 19 the effect on critical care admission mortality rates and pulmonary complications |
| topic | rejyonel anestezi genel anestezi covi̇d-19 ybü kabulü pulmoner komplikasyonlar regional anesthesia general anesthesia covid-19 icu admission pulmonary complications |
| url | https://dergipark.org.tr/tr/download/article-file/2457692 |
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