Challenges Of Administering General and Spinal Anesthesia and Hemodynamic Changes In Hernia Repair Patients
Keywords:
blood pressure, hemodynamic stability during anesthesia, Intraoperative Hemodynamics, best anesthetic medication, Cardiovascular Response.Abstract
Introduction: Choosing the best anesthetic medication to the patient's life continues to be the top priority for the anesthesia and critical care department personnel when it comes to techniques, medications, tactics, and recommendations for choosing optimal anesthesia. The most popular and efficient kind of anesthetic for those who repair hernias is spinal anesthesia.
Subjects And Methods: an accurate and up-to-date study of the patients. Based on the types of spinal and general anesthesia, we divided the 100 patients who had herniotomy into two groups: 50 patients received spinal anesthesia, while the remaining 50 patients received general anesthetic. The patient's age, weight, pulse rate, and blood pressure change were all analyzed. The study divided patients between the ages of 20 and 90 into two groups: general anesthesia (GA) and spinal anesthesia (SA) to do thorough follow-up before, during, and after operations.
Results: We demonstrate that it is also more stable in SA, which is around 56%, compared to GA, which is roughly 40%. However, blood pressure is higher in GA, which was 32%, and in SA, which was 24%, and lower in GA, which was 28%, and in SA, it was 20%. As demonstrated in this study, the heart rate is more stable in SA (56%) compared to GA (32%), and it increases in SA (34%), while it increases in GA (60%). The impact of (SA) is more consistent, and the heart rate dropped by 10% in (SA) and around 8% in (GA).
Conclusions: This study concludes that spinal anesthesia (SA) offers greater hemodynamic stability compared to general anesthesia (GA) in patients undergoing hernia repair. Patients in the SA group demonstrated more consistent blood pressure and heart rate control during the period of perioperative. Blood pressure and heart rate fluctuations were significantly higher in the GA group, indicating a less stable cardiovascular response. Therefore, spinal anesthesia may be considered the preferred anesthetic technique for hernia repair in patients where maintaining hemodynamic stability is a clinical priority.
