背景:脊柱麻醉(SA)通常在骨科手术中使用,妇产科,脊柱手术,和普外科,与全身麻醉(GA)相比,它有几个好处。然而,SA在整形外科中的使用频率要低得多。这篇综述分析了目前在各种外科专业中使用SA的现有数据,并比较了SA与GA的益处和并发症,评估其实用性和在整形外科中更广泛使用的潜力。
方法:使用PubMed和CochraneLibrary数据库进行了全面的文献综述,以评估SA在整形外科中的实用性。指示,禁忌症,并审查了各种外科专业使用SA的数据。好处,并发症,和成本效益也进行了评估。最后,根据现有文献评估了SA在整形外科中的实用性.
结果:与GA相比,SA已被证明具有多种益处和更少的风险,包括早期出院的可能性更高,降低成本,更好的疼痛和术后恶心呕吐控制,降低深静脉血栓形成和肺栓塞的风险。
结论:虽然常用于各种外科专业的手术,如妇产科,泌尿科,和骨科手术,SA在整形外科中使用较少。从使用SA中受益的整形外科手术包括脐下的手术,例如吸脂术,下肢手术,会阴手术,由于它的好处,我们建议在适当的临床情况下在整形外科手术中更频繁地使用SA.
BACKGROUND: Spinal anesthesia (SA) is commonly used within the specialties of orthopedic surgery, obstetrics and gynecology, spine surgery, and general surgery, and offers several benefits over general anesthesia (GA). However, SA is used much less frequently in plastic surgery. This review analyzed currently existing data on SA use across various surgical specialties and compared the benefits and complications of SA to those of GA, to assess its utility and potential for more widespread use in plastic surgery.
METHODS: A comprehensive literature review was conducted using the PubMed and Cochrane Library databases to evaluate the utility of SA in plastic surgery. Indications, contraindications, and data on the use of SA across various surgical specialties were reviewed. Benefits, complications, and cost-effectiveness were also assessed. Finally, the utility of SA in plastic surgery was evaluated based on the available literature.
RESULTS: SA has been shown to yield several benefits and fewer risks than GA, including a higher possibility of early discharge, decreased costs, better pain and postoperative nausea and vomiting control, and decreased risk of deep venous thrombosis and pulmonary embolism.
CONCLUSIONS: Although commonly used for procedures across various surgical specialties such as obstetrics and gynecology, urology, and orthopedic surgery, SA is less frequently used within plastic surgery. Plastic surgery procedures that would benefit from the use of SA include those below the umbilicus such as liposuction, lower extremity procedures, and perineal procedures, and owing to its benefits, we recommend that SA be used more often within plastic surgery under appropriate clinical circumstances.