Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications

Authors : Fatih ŞAHİN, Havva KOCAYİGİT, Bedirhan GÜNEL, Onur BALABAN

Pages : 27-34

Doi:10.31832/smj.1123832

View : 22 | Download : 10

Publication Date : 2023-03-16

Article Type : Research Paper

Abstract :Objectives The appropriate anesthesia method in patients requiring surgical treatment with confirmed or suspected new coronavirus disease insert ignore into journalissuearticles values(COVID-19); is unclear. This study aimed to compare regional anesthesia insert ignore into journalissuearticles values(RA); with general anesthesia insert ignore into journalissuearticles values(GA); in patients with COVID-19 infection in terms of admission to intensive care unit insert ignore into journalissuearticles values(ICU);, rate of pulmonary complications, and mortality. Materials and Methods We reviewed medical records between March 2020 and December 2021 added patients with COVID-19 that operated under RA or GA in the study. The patients were assigned into two groups: 1. patients operated under RA and 2. patients operated under GA. Primary outcomes were admission rates to the ICU, acute pulmonary, renal, and hepatic complications, and perioperative mortality rates. Results We included 123 patients in the study. Regional anesthesia was significantly higher in the cohort. 97 insert ignore into journalissuearticles values(78.9 %); patients were operated under RA and 26 insert ignore into journalissuearticles values(21.1 %); patients under GA. The admission rate to ICU was 8.2 %in the RA group and 11.5 %in the GA group. The difference was not significant insert ignore into journalissuearticles values(p=0.422);. Pulmonary complications were seen in 6 insert ignore into journalissuearticles values(6.2 %); patients in the RA group and 2 insert ignore into journalissuearticles values(7.7 %); patients in the GA group without a significant difference insert ignore into journalissuearticles values(p=0.535);. Perioperative mortality rates were comparable between groups insert ignore into journalissuearticles values(5.2 %in the RA group vs. 7.7 %in the GA group); insert ignore into journalissuearticles values(p=0.535);. Conclusion Pulmonary complications, ICU admission, and perioperative mortality rates were lower in COVID-19 patients operated under regional anesthesia; however, the differences were not significant.
Keywords : Rejyonel anestezi, Genel anestezi, COVİD 19, YBÜ kabulü, Pulmoner komplikasyonlar