DOI: 10.36347/sjams.2023.v11i01.005

Pages: 19-24

Introduction: Anesthetics are used every day in thousands of hospitals to induce loss of consciousness. Neuraxial anesthesia results from pharmacologic denervation at the level of the spinal cord and many receptors, molecular targets, and neuronal transmission pathways contribute to general anesthesia. This study aimed to compare the overall outcome along with the advantages and disadvantages of neuraxial and general anesthesia. Methods: This prospective observational study was conducted at the Department of Anesthesia, NICVD, Dhaka, Bangladesh. The study was carried out from October 2021 to September 2022. A total of 100 patients were selected as study subjects as per inclusion criteria. For the study purpose, the subjects were divided into two groups, group A (those who underwent neuraxial anesthesia) and group B (those who underwent general anesthesia). Result: Out of 100 study subjects, 70.0% of patients underwent neuraxial anesthesia (Group A) and 30.0% of patients underwent general anesthesia (Group B). Regarding intraoperative advantages, 1.0% of patient needed oxygen in group A and 100.0% of patients needed oxygen in group B, none needed endotracheal intubation in group A and 100.0% of patients needed this in group B, only 1.0% of patients needed muscle relaxant in group A and 100.0% of patients needed muscle relaxant in group B, consciousness was intact in all patient in group A, and none in group B, 1.0% of patients experienced laryngospasm in group A and 60.0% of patients experienced it in group B, moreover, hypotension was occurred in 10.0% of patients in group A and 50.0% of patients in group B, potential change in surgical approach was possible in 8.0% of patients in group B and none in group A, 1.0% of patients needed opioid analgesic in group A and 99.0% of patients needed opioid analgesic in group B. Concerning postoperative complications, 1.0% of patients experienced delayed reversal from anesthesia in group A while 20.0% of patients .......