The combination of general anesthesia to spinal and epidural techniques (CSEGA) proved to have a synergistic effect, thus, the use of sub-anesthetic doses can provide satisfactory anesthetic and analgesic results. CSEGA has several known advantages including appropriate postoperative analgesia, shows some benefit in the intraoperative blood loss control causing a decreased need for blood transfusion, rapid regain of the gastrointestinal actions and decreases the incidence of postoperative respiratory complications. Unfortunately, the drawbacks of using neuro-axial anesthesia in combination to general anesthesia will be not thoroughly introduced in many researches, thus, remain unclear.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
received combined spinal-epidural-general anesthesia.
Cairo university
Cairo, Egypt
morphine consumption
postoperative morphine consumption
Time frame: 24 hours
Postoperative patient satisfaction
1 = very unsatisfactory; 2 = unsatisfactory; 3 = indifferent; 4 = satisfactory; and 5 = very satisfactory.
Time frame: 24 hours
Intraoperative surgeon satisfaction.
using 1-4 scales (1, bad; 2, moderate; 3, good; 4, excellent;
Time frame: 6 hours
Incidence of complications
such as hypotension, bradycardia, nausea and vomiting, postoperative shivering,
Time frame: 24 hours
Blood loss
intraoperative Blood loss
Time frame: 6 hours
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