Comparison of spinal anesthesia between the non-elderly and elderly patients.
10.17085/apm.2016.11.2.190
- Author:
Sang Yoong PARK
1
;
Jeong Ho KIM
;
Jong Cheol RIM
;
Jeong A KIM
;
Ji Hyeon LEE
;
So Ron CHOI
;
Seung Cheol LEE
;
Jong Hwan LEE
;
Chan Jong CHUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, Dong-A University College of Medicine, Busan, Korea. cjchung@dau.ac.kr
- Publication Type:Original Article
- Keywords:
Elderly patient;
Spinal anesthesia
- MeSH:
Adult;
Aged*;
Anesthesia, Spinal*;
Humans;
Medical Records;
Retrospective Studies;
Spinal Puncture
- From:Anesthesia and Pain Medicine
2016;11(2):190-194
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The clinical features of spinal anesthesia may differ between young and old patients because of the anatomical and physiological changes that occur with an increase in age. This study was performed retrospectively to compare the clinical aspects of spinal anesthesia between the non-elderly and elderly patients. METHODS: We investigated the medical records of 1,180 adult patients who received spinal anesthesia during a one-year period. They were divided into two groups on the basis of 65 years of age; the non-elderly patient group (Y group, n = 813) versus the elderly patient group (E group, n = 367). Pre-, intra-, and postoperative data related to spinal anesthesia were collected. The data about satisfaction and causes of dissatisfaction with the procedure were evaluated. RESULTS: There were significant differences between the two groups in terms of age, height, and weight, except for sex. Significantly more than two attempts at spinal puncture were performed in the E group (37.6%) than in the Y group (21.4%). There were no statistically significant differences in perioperative complications after spinal anesthesia between the two groups. There were no significant differences in the reported causes of dissatisfaction between the two groups. The rate of wanting to undergo spinal anesthesia in the future was 96.4% in the Y group and 97.5% in the E group, which showed no statistically significant difference. CONCLUSIONS: Although the elderly patients had to undergo more spinal puncture attempts, more than 90% of the elderly patients were satisfied with spinal anesthesia and wanted to undergo spinal anesthesia again for similar surgeries in the future.
