Neuroaxial anesthesia compared to general anesthesia for procedures in the lower half of the body

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35383

Keywords:

Anesthesia Caudal; Anesthesia General; Anesthesia.

Abstract

The research aims to evaluate the effectiveness of neuraxial anesthesia compared to general anesthesia for procedures in the lower half of the body. This is an integrative literature review carried out through the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature on Health Sciences (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE) databases. of the following Health Sciences Descriptors (DeCS): “General Anesthesia” and “Caudal Anesthesia”. Combined with each other by the AND operator. As inclusion criteria: articles available in full, in Portuguese, English and Spanish, that addressed the topic, in the last five years (2017-2022). As exclusion criteria: articles that did not contemplate the theme and studies repeated in the databases. From the initial search with the descriptors and Boolean operator defined, 90 studies were found in the selected bases and after applying the inclusion criteria, 7 studies were selected to compose the final sample. Given the above, we can see that neuraxial block is superior to general anesthesia in view of greater cost benefit, less associated complications.

References

Barbosa, F. T., Lira, A. B., Oliveira, O. B. D., Santos, L. L., Santos, I. O., Barbosa, L. T., & Sousa-Rodrigues, C. F. D. (2019). Tutorial para execução de revisões sistemáticas e metanálises com estudos de intervenção em anestesia. Revista Brasileira de Anestesiologia, 69, 299-306.

Benka, A. U., Pandurov, M., Galambos, I. F., Rakić, G., Vrsajkov, V., & Drašković, B. (2020). Efeitos do bloqueio peridural caudal em pacientes cirúrgicos pediátricos: estudo randomizado. Revista Brasileira de Anestesiologia, 70, 97-103.

Buehler, P. K., Spielmann, N., Buehrer, S., Schmidt, A. R., Weiss, M., & Schmitz, A. (2017). Intraoperative music application in children and adolescents–a pilot study. Acta Anaesthesiologica Scandinavica, 61(8), 895-903.

Castro, A. M. D., Marchesoti, M. G. N., Oliveira, F. S. D., & Novaes, M. S. D. P. (2010). Avaliação do tratamento odontológico de pacientes com necessidades especiais sob anestesia geral. Rev Odontol UNESP, 39(3), 137-42.

da Costa, V. V., & Saraiva, R. A. (2020). Estudo comparativo entre anestesia peridural sacra e lombar para cirurgia pediátrica do aparelho locomotor. Brazilian Journal of Anesthesiology, 46(5), 335-342.

Ercole, F. F., Melo, L. S. D., & Alcoforado, C. L. G. C. (2014). Revisão integrativa versus revisão sistemática. Revista Mineira de Enfermagem, 18(1), 9-12.

Fideler, F., Walker, M., & Grasshoff, C. (2020). Effects of awake caudal anesthesia on mean arterial blood pressure in very low birthweight infants. BMC anesthesiology, 20(1), 1-8.

García, N. Á., Galera, S. L., García, B. N., Miró, C. E., Gaspar, M. P., Alvarenga, J. B., & Guerrero, A. I. (2019). Anestesia caudal en neonatos y lactantes como procedimiento anestésico en cirugía abdominal y del canal inguinal: nuestra experiencia. Cir Pediatr, 32, 181-184.

Imbelloni, L. E., Fornasari, M., Fialho, J. C., Sant'Anna, R., & Cordeiro, J. A. (2010). Anestesia geral versus raquianestesia para colecistectomia videolaparoscópica. Revista Brasileira de Anestesiologia, 60, 217-227.

Kasat, N., Dave, N., Shah, H., & Mahajan, S. (2017). Gastroschisis repair under caudal anesthesia: a series of three cases. Revista Brasileira de Anestesiologia, 67, 326-328.

Krishnan, P., Whyte, S. D., Baird, R., & Malherbe, S. (2020). Caudal and intravenous anesthesia without airway instrumentation for laparoscopic inguinal hernia repair in infants: a case series. A&A Practice, 14(9), e01251.

Lamoshi, A., Lerman, J., Dughayli, J., Elberson, V., Towle-Miller, L., Wilding, G. E., & Rothstein, D. H. (2021). Association of anesthesia type with prolonged postoperative intubation in neonates undergoing inguinal hernia repair. Journal of Perinatology, 41(3), 571-576.

Maia, C. P. (2020). Anestesia Peridural Torácica com Bupivacaína 0, 75% associada a Anestesia Geral para Cirurgias do Andar Superior do Abdômen. Brazilian Journal of Anesthesiology, 36(2), 125-131.

Narasimhan, P., Kashyap, L., Mohan, V. K., Arora, M. K., Shende, D., Srinivas, M., & Khanna, P. (2019). Comparison of caudal epidural block with paravertebral block for renal surgeries in pediatric patients: A prospective randomised, blinded clinical trial. Journal of clinical anesthesia, 52, 105-110.

Nazal, C. H., Vilches, A. A., Marín, C. V., Contreras, K. G., Valenzuela, C. N., & Ventí, P. B. (2018). Paralisia de cordas vocais após intubação endotraqueal: uma complicação incomum da anestesia geral. Revista Brasileira de Anestesiologia, 68, 637-640.

Nocite, J. R., Cagnolati, C. A., Moreira, V. A., & da Silva, L. J. B. (2020). Variação da temperatura corporal durante anestesia geral. Brazilian Journal of Anesthesiology, 29(2), 171-178.

Öksüz, G., Arslan, M., Urfalıoğlu, A., Güler, A. G., Tekşen, Ş., Bilal, B., & Öksüz, H. (2020). Comparison of quadratus lumborum block and caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries: a randomized controlled trial. Regional Anesthesia & Pain Medicine, 45(3), 187-191.

Pérez Valencia, A. I. (2017). Riesgo de efectos adversos cardio-respiratorios intraoperatorios con 3 diferentes tipos de anestesia (general, conductiva y sedoanalgesia) en procedimientos quirúrgicos del Hospital de los Valles, Quito.

Pineda González, A. R., Aparicio Morales, A. I., & Águila Calero, G. (2021). Anestesia peridural caudal en neonatos: una alternativa segura para el anestesiólogo. Revista Cubana de Anestesiología y Reanimación, 20(2).

Rodríguez-Zepeda, J. M., Castañeda, P. D., & Moreno-Ravelo, I. A. (2018). Anestesia general versus anestesia caudal en la hipertrofia pilórica. Revista Mexicana de Anestesiología, 41(S1), 25-26.

Published

08/10/2022

How to Cite

BOMFIM, V. V. B. da S. .; BEHRENS, P. de A. C. .; ARAÚJO, V. de A.; SILVA, M. C. da; MORAES, C. L. M. de .; REIS, C. S. da R. .; MELLO, G. I. .; DANTAS, L. S. .; SOUZA, A. C. C. de .; BARBOSA, L. E.; LUZ, A. P. P.; LOPES, J. R. . Neuroaxial anesthesia compared to general anesthesia for procedures in the lower half of the body. Research, Society and Development, [S. l.], v. 11, n. 13, p. e318111335383, 2022. DOI: 10.33448/rsd-v11i13.35383. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35383. Acesso em: 16 nov. 2024.

Issue

Section

Health Sciences