Sanna Ayaz, Musarat Saleem, Munazza Tayyab.
The Comparison of Spinal Anesthesia with General Anesthesia on the Postoperative Hospital Stay and Analgesic requirements in Lower Abdominal Surgery.
Pak J Med Health Sci Jan ;13(2):470-1.

Aim: To compare the analgesic efficacy of General anesthesia (GA) with Spinal anesthesia (SA) in patients undergoing lower abdominal surgeries. Methods: This was a randomized clinical trial conducted in Anesthesia and ICU Department of Avicenna Medical and Dental College Lahore from January-2019 to April-2019. A total of 80 patients who were electively planned for lower abdominal procedures having ASA I and II and age 20 to 60 years were included. Patients were allocated to SA and GA group using draw randomization. after surgery all patients were followed till hospital discharge. Results: Mean duration of surgery was higher in GA group, mean duration was 99.83+/-17.44 minutes in GA group versus 86.43+/-13.45 minutes in SA group (p-value <0.001). Mean VAS pain score was significantly higher at 2 hours, 4 hours and 6 hours after surgery in GA group as compared to the SA group. VAS score at hours was 5.3+/-1.4 in GA versus 3.5+/-1.7 in SA group (p-value <0.0001). VAS after 04 hours was 5.7+/-1.0 in GA group versus 3.9+/-1.1 in SA group (p-value <0.001). VAS score after 06 hours was 5.6+/-0.9 in GA group versus 4.8+/-1.2 hours in SA group (p-value 0.001). While there was no significant difference in VAS score after 12 hours of surgery Conclusion: Spinal anesthesia provides better analgesic efficacy as compared to the general anesthesia in patients undergoing lower abdominal procedures. Moreover, SA is also associated with shorter hospital stay.

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