The Effect of General and Spinal Anaesthesia on Pulmonary Function Tests in Geriatric Patients
Journal Title: Istanbul Medical Journal - Year 2020, Vol 21, Issue 6
Abstract
Introduction: This study aimed to compare the effects of general and spinal anaesthesia on pulmonary function tests (PFT) in the postoperative period among patients aged ≥65 years. Methods: This prospective study included a total of 60 patients aged ≥65 years with American Society of Anesthesiologists I-III. General anaesthesia was applied to group I while spinal anaesthesia was applied to group II. PFTs were performed in all the patients in the preoperative evaluation and were repeated at the 2nd and 24th postoperative hours. Comparison of the results was done both within and between the groups. Results: A comparison between the groups showed that both in the preoperative and postoperative periods, forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), the ratio of FEV1 to FVC (FEV1/FVC, Tiffeneau ratio), forced expiratory flow between 25% and 75% of the FVC (FEF25- 75), peak expiratory flow and forced expiratory time values were not statistically significant (p>0.05). However, when the patients were compared within the groups, a statistically significant decrease in FEV1 and FVC values was found in the postoperative spirometric measurements in both groups compared to the preoperative period (p<0.05). Conclusion: General or spinal anaesthesia adversely affects PFTs in elderly patients.
Authors and Affiliations
Vildan Kölükçü, Tuğba Karaman, Serkan Karaman, Serkan Doğru, Hakan Tapar, Mustafa Süren
Keywords
Related Articles
- EP ID EP691480
- DOI 10.4274/imj.galenos.2020.07673
- Views 127
- Downloads 0
Cardiac Hydatid Disease and Extracardiac Organ Involvement: A Tertiary Single-Center Experience
Introduction: Cardiac involvement is rare in hydatid cyst disease, which accounted for 0.5%-2% of all hydatidosis cases. Cardiac cysts usually occur as part of a wider infestation with extracardiac involvement. This stud...
Electrocardiographic Alterations in Patients with Common Variable Immune Deficiency
Introduction: Common variable immunodeficiency (CVID) is the most heterogeneous group among the antibody deficiency syndromes, but its effects on the cardiovascular system have not yet been clearly identified. Here, we a...
Cyto-Histopathological Findings of Myofibroblastoma of the Breast: A Case Report
Myofibroblastoma of the breast is a rare mesenchymal tumor, probably originating from stromal fibroblasts. In this case report, cyto-histopathological findings of myofibroblastoma of the breast are discussed. A 68-years-...
Abdominal Wall Endometriosis: Analysis of 66 Patients at a Tertiary Center
Introduction: The objective of this study was to review the patients’ characteristics and surgical findings of surgically excised abdominal wall endometriosis (AWE) cases. Methods: We retrospectively analyzed the medica...
Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy
Diabetic patients may experience more severe Staphylococcus aureus-related respiratory tract infections such as necrotizing pneumonia (NP). A 13-year-old girl with uncontrolled diabetes mellitus was admitted to pediatric...