Spinal anaesthesia versus general anaesthesia in the surgical microapproach of lumbar disc hernia

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Article Title:	Spinal anaesthesia versus general anaesthesia in the surgical microapproach of lumbar disc hernia
Authors:	Maria Stoica, Daniela Cernea, Luminiţa Chiuţu, Niculescu D., Purcaru F.
Affiliation:	1 Clinic of AIC, Universitary Emergency Hospital No.1 Craiova, University of Medicine and Pharmacy Craiova 2 Clinic of Orthopedics and Traumatology, Universitary Emergency Hospital No.1 Craiova, University of Medicine and Pharmacy Craiova
Abstract:	Objectives . The authors’ aim is to demonstrate the systemic impact of spinal anaesthesia compared with general anaesthesia in the minimal incision approach of lumbar disc hernia. Matherial & Method. There are studied two groups of patients, respectively: 22 patients who received general anaesthesia and 24 patients who received spinal anaesthesia; in both groups there were measured : clinical parameters (the time spent in PACU, the patient’s satisfaction regarding the type of anaesthesia, the level of pain using VAS at 1, 6 and 12 hours, the passed time until the first analgetic request, total quantity of used analgetics, functional recovery, nausea, vomiting, urinary retention, number of days of hospitalization) and biological parameters: glycemia, serum cortisol, hGH. Results and Conclusions. The results demonstrate the superiority of spinal anaesthesia in lumbar microdiscectomy with a high level of patient satisfaction and a good functional recovery.
Keywords:	lumbar disk hernia, discectomy, spinal anaesthesia, pain, endocrine stress
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*Correspondence:	Tabaci Street, No. 1, 200642, Craiova, Dolj County, Department of Anaesthesia and Intensive CareTel: +40742052313; E-mail: alin.stoica76@gmail.com