L'anestesia combinata epidurale e generale versus l'anestesia generale nel paziente urologico anziano ad alto rischio. Uno studio clinico prospettico e randomizzato: Combined epidural and general anaesthesia versus general anaesthesia in high-risk urological elderly patients. A prospective randomised trial

Abstract

Twenty-eight elderly high-risk (ASA 3) patients undergoing elective major urological surgery were prospectively randomised to receive either combined epidural and general anaesthesia (CEGA) or general anaesthesia (GA). The use of intraoperative vasopressors was significantly higher in the CEGA group (p<0.001). There was no significant difference between groups with regard to blood loss, volume replacement, postoperative complications and mortality. The CEGA allowed saving of inhalatory anaesthetic agents (p<0.001) and a shorter total hospital stay than GA (p<0.0044). The authors conclude that the CEGA exerted a significant beneficial effect on the intraoperative outcome in a group of high-risk surgical patients.