A Comparative Study of Local versus General Anesthesia for Chronic Subdural Hematoma in Elderly Patients Over 60 Years.
10.13004/kjnt.2013.9.2.47
- Author:
Si On KIM
1
;
Seong Il JUNG
;
Yu Sam WON
;
Chun Sik CHOI
;
Jae Young YANG
Author Information
1. Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine, Seoul, Korea. jy407.yang@samsung.com
- Publication Type:Comparative Study ; Original Article
- Keywords:
Chronic subdural hematoma;
General anesthesia;
Postoperative complications
- MeSH:
Aged*;
Anesthesia, General*;
Anesthesia, Local;
Arrhythmias, Cardiac;
Brain;
Heart Diseases;
Hematoma, Subdural, Chronic*;
Hospitalization;
Humans;
Medical Records;
Myocardial Infarction;
Postoperative Complications;
Prognosis;
Retrospective Studies
- From:Korean Journal of Neurotrauma
2013;9(2):47-51
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The purpose of this study is to compare the surgical and anesthetic complications of the local and general anesthesia in chronic subdural hematoma (CSDH) patients. METHODS: We retrospectively analyzed the medical record and brain CT of CSDH patients over 60-years-old, who were treated surgically in our institution between January 2005 and December 2012. RESULTS: One hundred six patients with CSDH were enrolled for this study and 61 patients had a burr hole craniostomy under the local anesthesia. In local anesthesia group, surgical complication was not increased than general anesthesia group. But in general anesthesia group, heart disease such as arrhythmia, acute myocardial infarction was relatively increased than local anesthesia group (p=0.04). And the hospitalization period of local anesthesia group was shorter than that of general anesthesia group (p=0.001). CONCLUSION: In this present study, there was no significant difference of surgical complications between the local and general anesthesia group. But the general anesthesia group had more cardiovascular complications and longer hospitalization periods. In conclusion, when we planned the burr hole craniostomy for the elderly patients with CSDH, local anesthesia should be considered more actively for postoperative prognosis.
