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International Journal of Colorectal Disease

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01-06-2013 | Original Article

Randomised clinical trial of pilonidal sinus operations performed in the prone position under spinal anaesthesia with hyperbaric bupivacaine 0.5 % versus total intravenous anaesthesia

Authors: Marc D. Schmittner, Sven Dieterich, Volker Gebhardt, Christel Weiss, Marc A. Burmeister, Dieter G. Bussen, Tim Viergutz

Published in: International Journal of Colorectal Disease | Issue 6/2013

Abstract

Purpose

The aim of this randomised clinical trial was to determine whether spinal anaesthesia (SPA) is superior to total intravenous anaesthesia (TIVA) in patients undergoing pilonidal sinus (PS) operations in the prone position.

Methods

After approval of the local ethics committee, suitable patients aged 19–49 years were randomised to SPA (7.5 mg hyperbaric bupivacaine) or TIVA (Propofol and Fentanyl). Cumulative consumption of analgesics, postoperative recovery, complications and patient satisfaction were evaluated.

Results

A total of 50 patients were randomised within a 24-month period. Median monitoring time in the recovery room was 0 (0–11) min for SPA versus 40 (5–145) min for TIVA (p < 0.0001). Patients in the SPA group were able to drink (40.5 (0–327) min versus TIVA 171 (72–280) min, p < 0.0001) and eat (55 (0–333) min versus TIVA 220 (85–358), p < 0.0001) earlier. More patients with a TIVA needed analgesics in the recovery room (SPA n = 0 versus TIVA n = 6, p = 0.0023) and suffered more frequently from a sore throat (SPA n = 0 versus TIVA n = 11, p = 0.0001). Two patients with a TIVA suffered from nausea and vomiting. Patients of both groups were equally satisfied with the anaesthesia technique offered.

Conclusions

SPA with 7.5 mg hyperbaric bupivacaine is superior to TIVA in patients undergoing PS operations in the prone position in terms of analgesia consumption in the recovery room, recovery times and postoperative complications.

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Title: Randomised clinical trial of pilonidal sinus operations performed in the prone position under spinal anaesthesia with hyperbaric bupivacaine 0.5 % versus total intravenous anaesthesia
Authors: Marc D. Schmittner
Sven Dieterich
Volker Gebhardt
Christel Weiss
Marc A. Burmeister
Dieter G. Bussen
Tim Viergutz
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 6/2013
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-012-1619-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Randomised clinical trial of pilonidal sinus operations performed in the prone position under spinal anaesthesia with hyperbaric bupivacaine 0.5 % versus total intravenous anaesthesia

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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