Regional anaesthesia versus general anaesthesia, morbidity and mortality

Best Practice and Research: Clinical Anaesthesiology

Volumn 20, Issue 2, 2006, Pages 249-263

  Gulur, Padma ^a   Nishimori, Mina ^a   Ballantyne, Jane C ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

ambulatory surgery; Caesarean section; carotid endarterectomy; general anaesthesia; heterogeneity; hip fracture; meta analysis; postoperative cognitive dysfunction; randomised controlled trial; regional anaesthesia

Indexed keywords

ANTICOAGULANT AGENT; LOCAL ANESTHETIC AGENT; OPIATE;

AMBULATORY SURGERY; CARDIOVASCULAR SURGERY; CAROTID ENDARTERECTOMY; CESAREAN SECTION; CLINICAL TRIAL; COGNITIVE DEFECT; CORONARY ARTERY DISEASE; DROWSINESS; EPIDURAL HEMATOMA; EVIDENCE BASED MEDICINE; FRACTURE TREATMENT; GENERAL ANESTHESIA; HEADACHE; HIP FRACTURE; HUMAN; META ANALYSIS; MORBIDITY; MORTALITY; NAUSEA; ORTHOPEDIC SURGERY; PRIORITY JOURNAL; RANDOMIZATION; REGIONAL ANESTHESIA; REVIEW; RISK ASSESSMENT; SYSTEMATIC REVIEW; THROMBOEMBOLISM; VOMITING;

ANESTHESIA, CONDUCTION; ANESTHESIA, GENERAL; CESAREAN SECTION; CLINICAL TRIALS; CLINICAL TRIALS AS TOPIC; ENDARTERECTOMY, CAROTID; HIP FRACTURES; HUMANS; META-ANALYSIS; META-ANALYSIS AS TOPIC; MORBIDITY; POSTOPERATIVE COMPLICATIONS;

EID: 33744546545     PISSN: 15216896     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bpa.2005.10.002     Document Type: Review

References (61)

1. Rodgers A., Walker N., Schug S., et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. Br Med J 321 7275 (2000) 1493
2. Yeager M.P., Glass D.D., Neff R.K., et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 66 (1987) 729-736
3. Park Y.W., Thompson J., and Lee K. Effect of epidural anesthesia and analgesia on perioperative outcome. A randomized, controlled veterans affairs cooperative study. Ann Surg 234 (2001) 560-571
4. Rigg J., Jamrozik K., Myles P., et al. Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial. Lancet 359 9314 (2002) 1276-1282
5. Peyton P.J., Myles P.S., Silbert B.S., et al. Perioperative epidural analgesia and outcome after major abdominal surgery in high-risk patients. Anesth Analg 96 (2003) 548-554
6. Todd C.J., Freeman C.J., Camilleri-Ferrante C., et al. Differences in mortality after fracture of hip: the East Anglican audit. Br Med J 310 (1995) 904-908
7. Parker M.J., Handoll H.H., and Griffiths R. Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev 4 (2004) CD000521
8. McLaren A.D., Stockwell M.C., and Reid V.T. Anaesthetic techniques for surgical correction of fractured neck of the femur. A comparative study of spinal and general anaesthesia in the elderly. Anaesthesia 33 1 (1978) 10-14
9. McKenzie P.J., Wishart H.Y., and Smith G. Long-term outcome after repair of fractured neck of femur. Comparison of subarachnoid and general anaesthesia. Br J Anaesth 56 6 (1984) 581-585
10. Scott N.B., Turfrey D.J., Ray D.A.A., et al. A prospective randomized study of the potential benefits of thoracic epidural anesthesia and analgesia in patients undergoing coronary artery bypass grafting. Anesth Analg 93 (2001) 528-535
11. Blomberg S., Emanuelsson H., Kvist H., et al. Effects of thoracic epidural anesthesia on coronary arteries and arterioles in patients with coronary artery disease. Anesthesiology 73 6 (1990) 840-847
12. Turfrey D.J., Ray D.A.A., Sutcliffe N.P., et al. Thoracic epidural anaesthesia for coronary artery bypass graft surgery. Effects on postoperative complications. Anaesthesia 52 (1997) 1090-1094
13. Baron J.F., Mertrand M., Barre E., et al. Combined epidural and general anesthesia versus general anesthesia for abdominal aortic surgery. Anesthesiology 75 4 (1991) 611-618
14. Christopherson R., Beattie C., Frank S.M., et al. Perioperative morbidity in patients randomized to epidural or general anesthesia for lower extremity vascular surgery. Perioperative ischemia randomized anesthesia trial study group. Anesthesiology 79 3 (1993) 422-434
15. Brinker M.R., Reuben J.D., Mull J.R., et al. Comparison of general and epidural anesthesia in patients undergoing primary unilateral THR. Orthopedics 20 2 (1997) 109-115
16. Modig J., Hjelmstedt A., Sahlstedt B., et al. Comparative influences of epidural and general anaesthesia on deep venous thrombosis and pulmonary embolism after total hip replacement. Acta Chir Scand 147 2 (1981) 125-130
17. Tuman K.J., McCarthy R.J., March R.J., et al. Effects of epidural anesthesia and analgesia on coagulation and outcome after major vascular surgery. Anesth Analg 73 (1991) 696-704
18. Keith A. Anaesthesia and blood loss in total hip replacement. Anaesthesia 32 (1977) 444-450
19. Hall G.M., and Ali W. The stress response and its modification by regional anaesthesia. Anaesthesia 53 supplement 2 (1998) 10-12
20. Bode R.H., Lewis K.P., Zarich S.W., et al. Cardiac outcome after peripheral vascular surgery. Comparison of general and regional anesthesia. Anesthesiology 84 1 (1996) 3-13
21. Garnett R.L., MacIntyre A., Lindsay P., et al. Perioperative ischaemia in aortic surgery: combined epidural/general anaesthesia and epidural analgesia vs general anaesthesia and IV analgesia. Can J Anaesth 43 8 (1996) 769-777
22. Bergqvist D., Wu C.L., and Neal J.M. Anticoagulation and neuraxial regional anesthesia: perspectives. Reg Anesth Pain Med 28 3 (2003) 163-166
23. Wulf H. Epidural anaesthesia and spinal haematoma. Can J Anaesth 43 (1996) 1260-1271
24. Horlocker T.T., and Heit J.A. Low molecular weight heparin: biochemistry, pharmacology, perioperative prophylaxis regimens, and guidelines for regional anesthetic management. Anesth Analg 85 4 (1997) 874-885
25. Horlocker Terese T., and Wedel D.J. Neurologic complications of spinal and epidural anesthesia. Reg Anesth Pain Med 25 1 (2000) 83-98
26. Berggren D., Gustafson Y., Eriksson B., et al. Postoperative confusion after anesthesia in elderly patients with femoral neck fractures. Anesth Analg 66 6 (1987) 497-504
27. Davis F.M., and Laurenson V.G. Spinal anaesthesia or general anaesthesia for emergency hip surgery in elderly patients. Anaesth Intensive Care 9 4 (1981) 352-358
28. Davis F.M., Woolner D.F., Frampton C., et al. Prospective, multi-centre trial of mortality following general or spinal anaesthesia for hip fracture surgery in the elderly. Br J Anaesth 59 9 (1987) 1080-1088
29. Juelsgaard P., Sand N.P., Felsby S., et al. Perioperative myocardial ischaemia in patients undergoing surgery for fractured hip randomized to incremental spinal, single-dose spinal or general anaesthesia. Eur J Anaesth 15 6 (1998) 656-663
30. Racle J.P., Benkhadra A., Poy J.Y., et al. Comparative study of general and spinal anesthesia in elderly women in hip surgery. Ann Fr Anesth Reanim 5 1 (1986) 24-30
31. Valentin N., Lomholt B., Jensen J.S., et al. Spinal or general anaesthesia for surgery of the fractured hip? A prospective study of mortality in 578 patients. Br J Anaesth 58 3 (1986) 284-291
32. Mismetti P., Laporte S., Darmon J.Y., et al. Meta-analysis of low molecular weight heparin in the prevention of venous thromboembolism in general surgery. Br J Surg 88 7 (2001) 913-930
33. Auerbach A.D., and Goldman L. Beta-blockers and reduction of cardiac events in noncardiac surgery: clinical applications. J Am Med Assoc 287 11 (2002) 1445-1447
34. Parker M.J., Pryor G.A., and Myles J. 11-year results in 2,846 patients of the peterborough hip fracture project: reduced morbidity, mortality and hospital stay. Acta Orthop Scand 71 1 (2000) 34-38
35. Gilbert T.B., Hawkes W.G., Hebel J.R., et al. Spinal anesthesia versus general anesthesia for hip fracture repair: a longitudinal observation of 741 elderly patients during 2-year follow-up. Am J Orthop 29 1 (2000) 25-35
36. Rahman K., and Jenkins J.G. Failed tracheal intubation in obstetrics: no more frequent but still managed badly. Anaesthesia 60 2 (2005) 168-171
37. Andrews W.W., Ramin S.M., Maberry M.C., et al. Effect of type of anesthesia on blood loss at elective repeat Caesarean section. Am J Perinatol 9 3 (1992) 197-200
38. Choi P.T., Galinski S.E., Takeuchi L., et al. PDPH is a common complication of neuraxial blockade in parturients: a meta-analysis of obstetrical studies. Can J Anaesth 50 5 (2003) 460-469
39. Reynolds F., and Seed P.T. Anaesthesia for caesarean section and neonatal acid-base status: a meta-analysis*. Anaesthesia 60 7 (2005) 636-653
40. Afolabi B., and Lesi A.F.E. Regional versus general anaesthesia for Caesarean section. Cochrane Database Syst Rev (2005) 3
41. Tomkinson J., Turnbull A., Robson G., et al. Report on confidential enquires into maternal deaths in England and Wales. Department of Health and Social Security (1976), HMSO, UK
42. Hawkins J.L.K.L.M., Palmer S.K., and Gibbs C.P. Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anesthesiology 86 2 (1997) 277-284
43. Murie J.A., John T.G., and Morris P.J. Carotid endarterectomy in Great Britain and Ireland: practice between 1984 and 1992. Br J Surg 81 6 (1994) 827-831
44. Rerkasem K., Bond R., and Rothwell P.M. Local versus general anaesthetic for carotid endarterectomy. Cochrane Database Syst Rev 2 2 (2004) CD000126
45. M. Gough, C. Warlow, GALA (general anaesthetic vs local anaesthetic) web page. http://www.dcn.ed.ac.uk/gala/, http://www.dcn.ed.ac.uk/gala/
46. Capdevila X., and Dadure C. Perioperative management for one day hospital admission: regional anesthesia is better than general anesthesia. Acta Anaesthesiol Belg 55 supplement (2004) 33-36
47. Klein S.M., Nielsen K.C., Greengrass R.A., et al. Ambulatory discharge after long-acting peripheral nerve blockade: 2382 blocks with ropivacaine. Anesth Analg 94 1 (2002) 65-70
48. Mulroy M.F., and McDonald S.B. Regional anesthesia for outpatient surgery. Anesthesiol Clin NA 21 2 (2003) 289-303
49. McGrath B., and Chung F. Postoperative recovery and discharge. Anesthesiol Clin NA 21 2 (2003) 367-386
50. Chung F., Ritchie E., and Su J. Postoperative pain in ambulatory surgery. Anesth Analg 85 4 (1997) 808-816
51. Watt-Watson J., Chung F., Chan V.W.S., et al. Pain management following discharge after ambulatory same-day surgery. J Nurs Manage 12 (2004) 153-161
52. Klein S.M. Beyond the hospital: continuous peripheral nerve blocks at home. Anesthesiology 96 6 (2002) 1283-1285
53. Beauregard L., Pomp A., and Choiniere M. Severity and impact of pain after day-surgery. Can J Anaesth 45 4 (1998) 304-311
54. Moller J.T., Cluitmans P., Rasmussen L.S., et al. Long-term postoperative cognitive dysfunction in the elderly ISPOCD1 study. ISPOCD investigators. Int Study Post-Operative Cogn Dysfunct 351 9106 (1998) 857-861
55. Handley G.H., Silbert B.S., Mooney P.H., et al. Combined general and epidural anesthesia versus general anesthesia for major abdominal surgery: postanesthesia recovery characteristics. Reg Anesth 22 5 (1997) 435-441
56. Riis J., Lomholt B., Haxholdt O., et al. Immediate and long-term mental recovery from general versus epidural anesthesia in elderly patients. Acta Anaesthes Scand 27 1 (1983) 44-49
57. Bigler D., Adelhoj B., Petring O.U., et al. Mental function and morbidity after acute hip surgery during spinal and general anaesthesia. Anaesthesia 40 7 (1985) 672-676
58. Papaioannou A., Fraidakis O., Machaloudis D., et al. The impact of the type of anaesthesia on cognitive status and delirium during the first postoperative days in elderly patients. Eur J Anaesthiol 22 (2005) 492-499
59. Williams-Russo P., Sharrock N.E., Mattis S., et al. Cognitive effects after epidural vs general anesthesia in older adults. A randomized trial. J Am Med Assoc 274 1 (1995) 44-50
60. Casati A., Aldegheri G., Vinciguerra E., et al. Randomized comparison between sevoflurane anaesthesia and unilateral spinal anaesthesia in elderly patients undergoing orthopaedic surgery. Eur J Anaesthesiol 20 8 (2003) 640-646
61. Rasmussen L.S., Johnson T., Kuipers H.M., et al. Does anaesthesia cause postoperative cognitive dysfunction? A randomised study of regional versus general anaesthesia in 438 elderly patients. Acta Anaesthesiol Scand 47 3 (2003) 260-266