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SAS Journal of Surgery | Volume-7 | Issue-04
Comparison among Spinal, Epidural, and General Anesthesia for Knee Arthroscopy: A Study in a Tertiary Care Hospital, Chattogram, Bangladesh
Dr. Nurul Azim, Dr. Ashit Kumar Das, Dr. Mohammad Azizul Haque, Dr. Mohammad Abdullah Al Mamun
Published: April 6, 2021 | 123 101
DOI: 10.36347/sasjs.2021.v07i04.004
Pages: 172-176
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Abstract
Introduction: Basically, knee arthroscopy is a surgical procedure that allows doctors to view the knee joint without making a large incision through the skin and other soft tissues. It is used to diagnose and treat a wide range of problems in the knee joint. In this procedure, surgeons make a very small incision and insert a tiny camera, arthroscope into the knee. As it is a painful procedure so anesthesia is necessary here. Aim: The aim of the study was to compare among spinal, epidural, and general anesthesia for knee arthroscopy in adults. Methods: This prospective study was conducted in the department of Anesthesia, Chittagong Medical College, Chattogram, Bangladesh during the period from July 2019 to June 2020. In total 66 adult patients for arthroscopies were selected as the study population for the study. All the participants were randomly divided into 3 equal groups for using spinal, epidural, and general anesthesia separately. For collecting, processing, analyzing and disseminating data MS Excel and SPSS version 20 were used as per need. Result: In analyzing the major symptoms during follow up period we did not find any significant correlation among the groups (Group-I Vs Group II: P =0.54; Group-II Vs Group-III: P=0.37; Group-1 Vs Group-III: P=0.13). Finally in analyzing the satisfaction scores we found significant correlation between Group I and Group II where P value was 0.014. Comparatively the best results were found in Group I where 16 (73.73%), 3 (13.64%), 2 (9.09%) and 1 (4.55%) patient found Very satisfied, Satisfied, Neutral and Dissatisfied leveled outcomes. Conclusion: In our study comparatively the best results were found in general anesthesia group. So for good efficacy and for cutting the treatment duration general anesthesia may be the best choice. These findings may be helpful in further similar studies.