Arun Oguzhan, Oc Bahar, Duman Ates, Yildirim Serkan, Simsek Murat, Farsak Bora, Oc Mehmet
Department of Anesthesiology and Reanimation, Selcuk University Faculty of Medicine, Konya, Turkey.
Ann Thorac Cardiovasc Surg. 2014;20(1):55-60. doi: 10.5761/atcs.oa.13-00222.
Endovenous laser ablation (EVLA) for superficial venous insufficiency is traditionally performed under tumescent local anesthesia as day case surgery. The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.
The anesthesia and clinical registration records of 341 extremities of 300 adult patients were reviewed and analyzed retrospectively. Demographic and clinical data, preoperative anesthetic evaluation data (ASA physical status, preoperative airway assessment, Mallampati score), type of supraglottic device, duration of anesthesia and surgery, any surgical and/or anesthetic complication, timing of mobilization and discharge, and postoperative course were evaluated.
Mean duration of operation and anesthesia was 28 (12-55) and 40 (20-65) minutes, respectively. Mobilization and discharge timing was 25 (11-45) and 139 (110-200) minutes, respectively. All patients were discharged the same day of surgery.
The combination technique of administering general anesthesia with supraglottic device and tumescent anesthesia is a safe and effective method to reduce the patients' pain and discomfort during the EVLT procedure within the scope of day case surgery.
传统上，静脉腔内激光消融术（EVLA）治疗浅静脉功能不全是在肿胀局部麻醉下作为日间手术进行的。本研究的目的是评估在接受EVLA的患者中，除肿胀麻醉外联合全身麻醉的可行性。
回顾性分析300例成年患者341个肢体的麻醉和临床登记记录。评估人口统计学和临床数据、术前麻醉评估数据（美国麻醉医师协会身体状况、术前气道评估、马兰帕蒂评分）、声门上装置类型、麻醉和手术持续时间、任何手术和/或麻醉并发症、活动和出院时间以及术后病程。
手术和麻醉的平均持续时间分别为28（12 - 55）分钟和40（20 - 65）分钟。活动和出院时间分别为25（11 - 45）分钟和139（110 - 200）分钟。所有患者均在手术当天出院。
在日间手术范围内，使用声门上装置全身麻醉与肿胀麻醉联合技术是一种安全有效的方法，可减轻患者在EVLT手术过程中的疼痛和不适。
