Original Research Paper

Outcome Of Pcnl Under Spinal Anaesthesia In Rural Teaching Hospital - A Retrospective Study

Abstract :

Background: Percutaneous nephrolithotomy(PCNL) has become the mainstay of treatment for renal-calculi over the past 40years,the practice of which has been defined and redefined over-time.GA had been the anaesthesia of choice for decades,but now,SA has proven its efficacy for the same.In this study of ours,we compare the feasibility of SA over GA for PCNL. Methods: A retrospective study was done with 60 patients who underwent PCNL.They were divided into 2 groups:Group A(n=30 patients),who underwent the surgery under SA, and Group B(n=30 patients),who underwent the surgery under GA.Hemodynamic stability in terms of HR,MAP,total blood loss,post-operative analgesic requiremnets,patients and surgeons comfort,use of poly-pharmacy and OT utilization time were recorded intra-operatively and post-operatively.Results: MAP and HR did not show significant difference between the 2 groups(p value>0.05). Blood loss was minimal in both groups,however post-op analgesic requirements,use of poly-pharmacy and OT utilization time were significantly reduced in Group A. Conclusion: It was observed that the patients were hemodynamically more stable and comfortable when operated under GA,however post-opertaive analgesia,OT utilization time was better when done under SA,also minimizing the inadvertent use of poly-pharmacy. Hence,SA is reaching equal efficacy with that of GA for PCNL cases.

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