Combined neuraxial and general anesthesia significantly improves perioperative outcomes following elective open abdominal aortic aneurysm repair
Journal of Vascular Surgery Sep 26, 2019
Salata K, Abdallah F, Hussain MA, et al. - The 90-day outcomes of combined general and neuraxial anesthesia (NA) vs general anesthesia without neuraxial (GA) for elective open abdominal aortic aneurysm (AAA) repair were assessed. In this retrospective population-based cohort study, researchers used Ontario administrative health data and identified 10,477 elective open AAA repairs, with 9,003 (85%) NA and 1,444 (14%) GA patients. Outcomes indicated a correlation of NA in open AAA repair patients with reduced risk of 90-day mortality, major adverse cardiovascular events, stroke, acute kidney injury, dialysis, respiratory failure, limb complications, and shorter mechanical ventilation times, ICU and hospital lengths of stay, as well as higher likelihood for discharge home. They recommend considering NA as a standard adjunct to general anesthesia in open AAA repairs.
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