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
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
| Outcome | P value |
|---|---|
| Hypotension and intraoperative vasoactive drugs | P < 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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