$Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures$
Código QR

Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures

Abstract Local and general anesthesia are the main techniques used during percutaneous kyphoplasty (PKP); however, both are associated with adverse reactions. Monitored anesthesia with dexmedetomidine may be the appropriate sedative and analgesic technique. Few studies have compared monitored anesth...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Chaoyuan Ge, Xucai Wu, Zijun Gao, Zhengwei Xu, Dingjun Hao, Liang Dong
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/dd50283082524d5882dabf8709fc75e8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:dd50283082524d5882dabf8709fc75e8
record_format	dspace
spelling	oai:doaj.org-article:dd50283082524d5882dabf8709fc75e82021-12-02T15:49:42ZComparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures10.1038/s41598-021-90621-92045-2322https://doaj.org/article/dd50283082524d5882dabf8709fc75e82021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90621-9https://doaj.org/toc/2045-2322Abstract Local and general anesthesia are the main techniques used during percutaneous kyphoplasty (PKP); however, both are associated with adverse reactions. Monitored anesthesia with dexmedetomidine may be the appropriate sedative and analgesic technique. Few studies have compared monitored anesthesia with other anesthesia modalities during PKP. Our aim was to determine whether monitored anesthesia is an effective alternative anesthetic approach for PKP. One hundred sixty-five patients undergoing PKP for osteoporotic vertebral compression fractures (OVCFs) were recruited from a single center in this prospective, non-randomized controlled study. PKP was performed under local anesthesia with ropivacaine (n = 55), monitored anesthesia with dexmedetomidine (n = 55), and general anesthesia with sufentanil/propofol/sevoflurane (n = 55). Perioperative pain was assessed using a visual analogue score (VAS). Hemodynamic variables, operative time, adverse effects, and perioperative satisfaction were recorded. The mean arterial pressure (MAP), heart rate, VAS, and operative time during monitored anesthesia were significantly lower than local anesthesia. Compared with general anesthesia, monitored anesthesia led to less adverse anesthetic effects. Monitored anesthesia had the highest perioperative satisfaction and the lowest VAS 2 h postoperatively; however, the monitored anesthesia group had the lowest MAP and heart rate 2 h postoperatively. Based on better sedation and analgesia, monitored anesthesia with dexmedetomidine achieved better patient cooperation, a shorter operative time, and lower adverse events during PKP; however, the MAP and heart rate in the monitored anesthesia group should be closely observed after surgery.Chaoyuan GeXucai WuZijun GaoZhengwei XuDingjun HaoLiang DongNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chaoyuan Ge Xucai Wu Zijun Gao Zhengwei Xu Dingjun Hao Liang Dong Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
description	Abstract Local and general anesthesia are the main techniques used during percutaneous kyphoplasty (PKP); however, both are associated with adverse reactions. Monitored anesthesia with dexmedetomidine may be the appropriate sedative and analgesic technique. Few studies have compared monitored anesthesia with other anesthesia modalities during PKP. Our aim was to determine whether monitored anesthesia is an effective alternative anesthetic approach for PKP. One hundred sixty-five patients undergoing PKP for osteoporotic vertebral compression fractures (OVCFs) were recruited from a single center in this prospective, non-randomized controlled study. PKP was performed under local anesthesia with ropivacaine (n = 55), monitored anesthesia with dexmedetomidine (n = 55), and general anesthesia with sufentanil/propofol/sevoflurane (n = 55). Perioperative pain was assessed using a visual analogue score (VAS). Hemodynamic variables, operative time, adverse effects, and perioperative satisfaction were recorded. The mean arterial pressure (MAP), heart rate, VAS, and operative time during monitored anesthesia were significantly lower than local anesthesia. Compared with general anesthesia, monitored anesthesia led to less adverse anesthetic effects. Monitored anesthesia had the highest perioperative satisfaction and the lowest VAS 2 h postoperatively; however, the monitored anesthesia group had the lowest MAP and heart rate 2 h postoperatively. Based on better sedation and analgesia, monitored anesthesia with dexmedetomidine achieved better patient cooperation, a shorter operative time, and lower adverse events during PKP; however, the MAP and heart rate in the monitored anesthesia group should be closely observed after surgery.
format	article
author	Chaoyuan Ge Xucai Wu Zijun Gao Zhengwei Xu Dingjun Hao Liang Dong
author_facet	Chaoyuan Ge Xucai Wu Zijun Gao Zhengwei Xu Dingjun Hao Liang Dong
author_sort	Chaoyuan Ge
title	Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
title_short	Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
title_full	Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
title_fullStr	Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
title_full_unstemmed	Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
title_sort	comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/dd50283082524d5882dabf8709fc75e8
work_keys_str_mv	AT chaoyuange comparisonofdifferentanesthesiamodalitiesduringpercutaneouskyphoplastyofosteoporoticvertebralcompressionfractures AT xucaiwu comparisonofdifferentanesthesiamodalitiesduringpercutaneouskyphoplastyofosteoporoticvertebralcompressionfractures AT zijungao comparisonofdifferentanesthesiamodalitiesduringpercutaneouskyphoplastyofosteoporoticvertebralcompressionfractures AT zhengweixu comparisonofdifferentanesthesiamodalitiesduringpercutaneouskyphoplastyofosteoporoticvertebralcompressionfractures AT dingjunhao comparisonofdifferentanesthesiamodalitiesduringpercutaneouskyphoplastyofosteoporoticvertebralcompressionfractures AT liangdong comparisonofdifferentanesthesiamodalitiesduringpercutaneouskyphoplastyofosteoporoticvertebralcompressionfractures
_version_	1718385721456197632

Comparison of different anesthesia modalities during percutaneous kyphoplasty of osteoporotic vertebral compression fractures

Ejemplares similares