Prospective evaluation of anesthetic technique for anorectal surgery.

摘要: PURPOSE: Deep intravenous sedation plus local anesthesia for anorectal surgery in the prone position is used frequently at our institution, but not widely accepted because of concerns regarding airway management. The purpose this study was to prospectively evaluate safety and efficacy anesthetic technique surgery. METHODS: Data were collected on 413 consecutive patients (mean age, 47 years; mean weight, 80 kg) undergoing surgical procedures. RESULTS: Of 389 who underwent procedures position, 260 (67 percent) received anesthesia, 125 (32 regional (spinal or epidural), 4 (1 general endotracheal anesthesia. 24 lithotomy 13 (54 2 (8 7 (29 mask inhalational Forty-two adverse events attributable occurred 18 patients: nausea vomiting (n = 17), transient hypotension, bradycardia, arrhythmia 8), hypoxia hypoventilation 7), urinary retention 6), severe patient discomfort 2). These complications percent (10/273) receiving 6 (8/127) Two (0.8 rolled supine before completing procedure. Recovery time discharge treated an ambulatory basis significantly shorter those (79 ± 34 minutes, n 174) than (161 63 45; P < 0.001, t-test). CONCLUSION: Intravenous safe effective offers potential cost savings by decreasing recovery room outpatient