An Observational Study to Compare Patient and Surgeon Satisfaction and Hemodynamic Changes Occurring in Spinal Anaesthesia Versus General Anaesthesia in Patients Undergoing Percutaneous Nephrolithotomy Surgery

Abstract

Background:Renal stones are the most painful condition of the urological system requiring hospital
admission. The treatment depends upon type, number and size of renal calculi. Percutaneous nephrolithotomy
(PCNL) can be conducted under regional anesthesia such as spinal anesthesia (SA) as well as in general
anesthesia (GA).
Methodology: In this study, we selected 50 patients of ASA-I &II of either sex, 18 to 60 years undergoing
PCNL surgeries.
GROUP S (n=25)- PCNL under spinal anaesthesia
GROUP G (n=25)- PCNL under general anaesthesia
Result: Mean pulse rate, Mean arterial pressure and Mean oxygen saturation were significantly lower in
SA group during intraoperative period as compared to GA whereas the difference in both groups were
insignificant postoperatively with p<0.01 and p>0.05 respectively.
Mean VAS score for patient’s satisfaction were significantly lower in SA group as compared to GA group
with p<0.01.
Likert’s scale for surgeon’s satisfaction were significantly higher in GA group as compared to SA group with
p<0.01
Conclusion: My study concluded that VAS score (patient’s satisfaction) is better in spinal anesthesia whereas
hemodynamic stability and Likert’s scale (surgeon’s satisfaction) is better in general anesthesia.