Perioperative medicine & outcomes

Effects of Neuraxial or General Anesthesia on the Incidence of Postoperative Pulmonary Complications in Patients Undergoing Peripheral Vascular Surgery: A Randomized Controlled Trial

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

In this study, spinal anesthesia did not significantly reduce the incidence of PPCs in patients undergoing peripheral vascular surgery compared with general anesthesia.

Study context

Population
Adults, ASA II to IV, scheduled for elective lower extremity arterial bypass surgery123 completed
Participants
128 adults
Comparison
Spinal anaesthesia vs GA
Primary endpoint
Incidence of postoperative pulmonary complications (PPCs)
Methodological detailsprospective, 2 parallel arms, two tertiary teaching hospitals
  • Prospective
  • 2 parallel arms
  • Two tertiary teaching hospitals

Primary result

As reported in the abstract

P = 0.051

Secondary outcomes

OutcomeP value
Hypotension and intraoperative vasoactive drugsP < 0.001

Hypotension and intraoperative vasoactive drugs

Lower incidence of hypotension and fewer intraoperative vasoactive drugs with spinal anesthesia

Original publication

Effects of Neuraxial or General Anesthesia on the Incidence of Postoperative Pulmonary Complications in Patients Undergoing Peripheral Vascular Surgery: A Randomized Controlled Trial. J Cardiothorac Vasc Anesth. Published 21 December 2024. doi:10.1053/j.jvca.2024.12.027

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