Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala

Adnan Abdul Adheem Kadhim; Haider Ahmed Jalab Salem Al-Khikani; Qasim Muhammad Hamza; Yass Khudair Habib; Muhammad Mohsen Hussein; Hassan Taqi Muhammad

doi:doi:10.11648/j.wjmcr.20240502.13

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Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala

Adnan Abdul Adheem Kadhim

, Haider Ahmed Jalab Salem Al-Khikani^*

, Qasim Muhammad Hamza

, Yass Khudair Habib

, Muhammad Mohsen Hussein

, Hassan Taqi Muhammad

Published in World Journal of Medical Case Reports (Volume 5, Issue 2)

Received: 28 November 2024 Accepted: 9 December 2024 Published: 25 December 2024

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Abstract

Introduction: When it comes to methods, drugs, strategies, and guidelines for selecting the best anesthesia, the primary concern of the anesthesia and critical care department staff remains selecting the anesthetic that poses the least risk to the patient's life. For individuals who repair hernias, spinal anesthesia is the most effective and common type of anesthetic. Subjects and methods: a current and precise analysis of the patients that visit Karbala's Al-Hassan Hospital and Al-Hussein Medical City. We separated the (100) patients who had a herniotomy into two groups based on the forms of spinal and general anesthesia (50) patients were put under spinal anesthesia and (50) patients were put under general anesthesia. Analysis was done on the patient's age, weight, blood pressure change, and pulse rate. In order to conduct meticulous follow-up before to, during, and following procedures, the study examined patients between the ages of (20) and (90) and separated them into two groups: general anesthesia (GA) and spinal anesthesia (SA). Results: We demonstrate that it is also more stable in SA, which is around (56%), compared to (GA), which is roughly (40%). However, blood pressure is higher in (GA), which was (32%), and in (SA), which was (24%), and lower in (GA), which was (28%), and in SA, it was (20%). As demonstrated in this study, the heart rate is more stable in (SA 56%) compared to (GA 32%), and it increases in (SA 34%), while it increases in (GA 60%). The impact of (SA) is more consistent, and the heart rate dropped by 10% in (SA) and around 8% in (GA). Conclusions: We discovered that spinal anesthesia was superior to general anesthesia in terms of maintaining minimum or normal heart rate and blood pressure stability.

Published in	World Journal of Medical Case Reports (Volume 5, Issue 2)
DOI	10.11648/j.wjmcr.20240502.13
Page(s)	27-32
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

General and Spinal Anesthesia, Hemodynamic Stability in Anesthesia, Hemodynamic Stability Hernia Repair in Anesthesia, Decreased Blood Pressure

References

[1]	Callesen T. Inguinal hernia repair: anaesthesia, pain and convalescence. Dan Med Bull. 2003 Aug; 50(3): 203-18. PMID: 13677240.
[2]	Chaturvedi S, Lipszyc DH, Licht C, Craig JC, Parekh R. Pharmacological interventions for hypertension in children. Cochrane Database Syst Rev. 2014 Feb 1; (2): CD008117. https://doi.org/10.1002/14651858.CD008117.pub2
[3]	Aglio MDMS, Linda & Urman, Richard. (2017). Anesthesiology: Clinical Case Reviews. https://doi.org/10.1007/978-3-319-50141-3
[4]	Forkin KT, Nemergut EC. Miller’s anesthesia, 8th edition. American Society of Anesthesiologists; 2016 [2024 Jan 1]. Available from: https://pubHindiyahGeneralHospitals.asahq.org/anesthesiology/article/124/4/977/14379/Miller-s-Anesthesia-8th-Edition
[5]	Wolfsthal SD. Is blood pressure control necessary before surgery? Med Clin North Am. 1993 Mar; 77(2): 349-63. https://doi.org/10.1016/s0025-7125(16)30256-5
[6]	Mabula JB, Chalya PL. Surgical management of inguinal hernias at Bugando Medical Centre in northwestern Tanzania: our experiences in a resource-limited setting. BMC Res Notes. 2012 Oct 25; 5: 585. https://doi.org/10.1186/1756-0500-5-585
[7]	Aitkenhead AR, I Moppett, J Thompson. Smith and Aitkenhead’s Textbook of Anaesthesia. Elsevier Health Sciences; 2013.
[8]	Butterworth JF. Morgan and mikhail’s clinical anesthesiology. 6th ed. McGraw-Hill Education; 2018.
[9]	Ti LK, Pua HL, Lee TL. Single vital capacity inhalational anaesthetic induction in adults--isoflurane vs sevoflurane. Can J Anaesth. 1998 Oct; 45(10): 949-53. https://doi.org/10.1007/BF03012302
[10]	Meyler L, Aronson JK. Meyler’s side effects of drugs used in anesthesia. Amsterdam: Elsevier Science; 2009.
[11]	Kingsnorth A, Leblanc KA, Sanders DL. Management of Abdominal Hernias. Cham: International Publishing; 2018.
[12]	Cortínez LI, Anderson BJ, Nick, Puga V, Natalia, Hernán Auad, et al. Dexmedetomidine pharmacokinetics in the obese. European Journal of Clinical Pharmacology. 2015 Sep 25; 71(12): 1501–8.
[13]	Liem VGB, Hoeks SE, Mol KHJM, Potters JW, Grüne F, Stolker RJ, et al. Postoperative Hypotension after Noncardiac Surgery and the Association with Myocardial Injury. Anesthesiology [Internet]. 2020 May 29; 133(3): 510–22. Available from: https://pubs.asahq.org/anesthesiology/article/133/3/510/108232/Postoperative Hypotension after Noncardiac Surgery
[14]	Kaplan JA, Augustine's JGT, Manecke GR, et al, eds. Kaplan's Cardiac Anesthesia for Cardiac and Noncardiac Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017: 731–769. L.
[15]	Pardo M. Miller’s Basics of Anesthesia. Elsevier Health Sciences; 2022.
[16]	Benes J, Simanova A, Tovarnicka T, Sevcikova S, Kletecka J, Zatloukal J, Pradl R, Chytra I, Kasal E. Continuous non-invasive monitoring improves blood pressure stability in upright position: randomized controlled trial. J Clin Monit Comput. 2015 Feb; 29(1): 11-7. https://doi.org/10.1007/s10877-014-9586-2 Epub 2014 May 20
[17]	Balentine CJ, Meier J, Berger M, Reisch J, Cullum M, Lee SC, Skinner CS, Brown CJ. Using Local Anesthesia for Inguinal Hernia Repair Reduces Complications in Older Patients. J Surg Res. 2021 Feb; 258: 64-72. https://doi.org/10.1016/j.jss.2020.08.054 Epub 2020 Sep 28.
[18]	Bay-Nielsen M, Kehlet H. Anaesthesia and post-operative morbidity after elective groin hernia repair: a nation-wide study. Acta Anaesthesiol Scand. 2008 Feb; 52(2): 169-74. https://doi.org/10.1111/j.1399-6576.2007.01514.x Epub 2007 Nov 12.
[19]	Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, Sage D, Futter M, Saville G, Clark T, MacMahon S. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ. 2000 Dec 16; 321(7275): 1493. https://doi.org/10.1136/bmj.321.7275.1493
[20]	Reich DL, Hossain S, Krol M, Baez B, Patel P, Bernstein A, Bodian CA. Predictors of hypotension after induction of general anesthesia. Anesth Analg. 2005 Sep; 101(3): 622-628. https://doi.org/10.1213/01.ANE.0000175214.38450.91

Cite This Article

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APA Style

Kadhim, A. A. A., Al-Khikani, H. A. J. S., Hamza, Q. M., Habib, Y. K., Hussein, M. M., et al. (2024). Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala. World Journal of Medical Case Reports, 5(2), 27-32. https://doi.org/10.11648/j.wjmcr.20240502.13

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ACS Style

Kadhim, A. A. A.; Al-Khikani, H. A. J. S.; Hamza, Q. M.; Habib, Y. K.; Hussein, M. M., et al. Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala. World J. Med. Case Rep. 2024, 5(2), 27-32. doi: 10.11648/j.wjmcr.20240502.13

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AMA Style

Kadhim AAA, Al-Khikani HAJS, Hamza QM, Habib YK, Hussein MM, et al. Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala. World J Med Case Rep. 2024;5(2):27-32. doi: 10.11648/j.wjmcr.20240502.13

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@article{10.11648/j.wjmcr.20240502.13,
  author = {Adnan Abdul Adheem Kadhim and Haider Ahmed Jalab Salem Al-Khikani and Qasim Muhammad Hamza and Yass Khudair Habib and Muhammad Mohsen Hussein and Hassan Taqi Muhammad},
  title = {Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala
},
  journal = {World Journal of Medical Case Reports},
  volume = {5},
  number = {2},
  pages = {27-32},
  doi = {10.11648/j.wjmcr.20240502.13},
  url = {https://doi.org/10.11648/j.wjmcr.20240502.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20240502.13},
  abstract = {Introduction: When it comes to methods, drugs, strategies, and guidelines for selecting the best anesthesia, the primary concern of the anesthesia and critical care department staff remains selecting the anesthetic that poses the least risk to the patient's life. For individuals who repair hernias, spinal anesthesia is the most effective and common type of anesthetic. Subjects and methods: a current and precise analysis of the patients that visit Karbala's Al-Hassan Hospital and Al-Hussein Medical City. We separated the (100) patients who had a herniotomy into two groups based on the forms of spinal and general anesthesia (50) patients were put under spinal anesthesia and (50) patients were put under general anesthesia. Analysis was done on the patient's age, weight, blood pressure change, and pulse rate. In order to conduct meticulous follow-up before to, during, and following procedures, the study examined patients between the ages of (20) and (90) and separated them into two groups: general anesthesia (GA) and spinal anesthesia (SA). Results: We demonstrate that it is also more stable in SA, which is around (56%), compared to (GA), which is roughly (40%). However, blood pressure is higher in (GA), which was (32%), and in (SA), which was (24%), and lower in (GA), which was (28%), and in SA, it was (20%). As demonstrated in this study, the heart rate is more stable in (SA 56%) compared to (GA 32%), and it increases in (SA 34%), while it increases in (GA 60%). The impact of (SA) is more consistent, and the heart rate dropped by 10% in (SA) and around 8% in (GA). Conclusions: We discovered that spinal anesthesia was superior to general anesthesia in terms of maintaining minimum or normal heart rate and blood pressure stability.
},
 year = {2024}
}

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TY  - JOUR
T1  - Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala

AU  - Adnan Abdul Adheem Kadhim
AU  - Haider Ahmed Jalab Salem Al-Khikani
AU  - Qasim Muhammad Hamza
AU  - Yass Khudair Habib
AU  - Muhammad Mohsen Hussein
AU  - Hassan Taqi Muhammad
Y1  - 2024/12/25
PY  - 2024
N1  - https://doi.org/10.11648/j.wjmcr.20240502.13
DO  - 10.11648/j.wjmcr.20240502.13
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 27
EP  - 32
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20240502.13
AB  - Introduction: When it comes to methods, drugs, strategies, and guidelines for selecting the best anesthesia, the primary concern of the anesthesia and critical care department staff remains selecting the anesthetic that poses the least risk to the patient's life. For individuals who repair hernias, spinal anesthesia is the most effective and common type of anesthetic. Subjects and methods: a current and precise analysis of the patients that visit Karbala's Al-Hassan Hospital and Al-Hussein Medical City. We separated the (100) patients who had a herniotomy into two groups based on the forms of spinal and general anesthesia (50) patients were put under spinal anesthesia and (50) patients were put under general anesthesia. Analysis was done on the patient's age, weight, blood pressure change, and pulse rate. In order to conduct meticulous follow-up before to, during, and following procedures, the study examined patients between the ages of (20) and (90) and separated them into two groups: general anesthesia (GA) and spinal anesthesia (SA). Results: We demonstrate that it is also more stable in SA, which is around (56%), compared to (GA), which is roughly (40%). However, blood pressure is higher in (GA), which was (32%), and in (SA), which was (24%), and lower in (GA), which was (28%), and in SA, it was (20%). As demonstrated in this study, the heart rate is more stable in (SA 56%) compared to (GA 32%), and it increases in (SA 34%), while it increases in (GA 60%). The impact of (SA) is more consistent, and the heart rate dropped by 10% in (SA) and around 8% in (GA). Conclusions: We discovered that spinal anesthesia was superior to general anesthesia in terms of maintaining minimum or normal heart rate and blood pressure stability.

VL  - 5
IS  - 2
ER  -

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Author Information

Adnan Abdul Adheem Kadhim

General Surgery Specialty, Al-Taff University College, Karbala, Iraq

Contact Email

http://orcid.org/0009-0000-2271-3675
Haider Ahmed Jalab Salem Al-Khikani

Anesthesia and Intensive Care Technology, Al-Taff University College, Karbala, Iraq

Contact Email

http://orcid.org/0009-0008-5416-1498
Qasim Muhammad Hamza

Anesthesia and Intensive Care Technology, Al-Taff University College, Karbala, Iraq

Contact Email

http://orcid.org/0009-0007-6948-4305
Yass Khudair Habib

Anesthesia and Intensive Care Technology, Al-Taff University College, Karbala, Iraq

Contact Email

http://orcid.org/0009-0000-5622-5338
Muhammad Mohsen Hussein

Anesthesia and Intensive Care Technology, Al-Taff University College, Karbala, Iraq

Contact Email

http://orcid.org/0009-0006-1286-8431
Hassan Taqi Muhammad

Anesthesia and Intensive Care Technology, Al-Taff University College, Karbala, Iraq

Contact Email

http://orcid.org/0009-0001-5768-3805

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APA Style

Kadhim, A. A. A., Al-Khikani, H. A. J. S., Hamza, Q. M., Habib, Y. K., Hussein, M. M., et al. (2024). Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala. World Journal of Medical Case Reports, 5(2), 27-32. https://doi.org/10.11648/j.wjmcr.20240502.13

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ACS Style

Kadhim, A. A. A.; Al-Khikani, H. A. J. S.; Hamza, Q. M.; Habib, Y. K.; Hussein, M. M., et al. Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala. World J. Med. Case Rep. 2024, 5(2), 27-32. doi: 10.11648/j.wjmcr.20240502.13

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AMA Style

Kadhim AAA, Al-Khikani HAJS, Hamza QM, Habib YK, Hussein MM, et al. Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala. World J Med Case Rep. 2024;5(2):27-32. doi: 10.11648/j.wjmcr.20240502.13

Copy | Download

@article{10.11648/j.wjmcr.20240502.13,
  author = {Adnan Abdul Adheem Kadhim and Haider Ahmed Jalab Salem Al-Khikani and Qasim Muhammad Hamza and Yass Khudair Habib and Muhammad Mohsen Hussein and Hassan Taqi Muhammad},
  title = {Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala
},
  journal = {World Journal of Medical Case Reports},
  volume = {5},
  number = {2},
  pages = {27-32},
  doi = {10.11648/j.wjmcr.20240502.13},
  url = {https://doi.org/10.11648/j.wjmcr.20240502.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20240502.13},
  abstract = {Introduction: When it comes to methods, drugs, strategies, and guidelines for selecting the best anesthesia, the primary concern of the anesthesia and critical care department staff remains selecting the anesthetic that poses the least risk to the patient's life. For individuals who repair hernias, spinal anesthesia is the most effective and common type of anesthetic. Subjects and methods: a current and precise analysis of the patients that visit Karbala's Al-Hassan Hospital and Al-Hussein Medical City. We separated the (100) patients who had a herniotomy into two groups based on the forms of spinal and general anesthesia (50) patients were put under spinal anesthesia and (50) patients were put under general anesthesia. Analysis was done on the patient's age, weight, blood pressure change, and pulse rate. In order to conduct meticulous follow-up before to, during, and following procedures, the study examined patients between the ages of (20) and (90) and separated them into two groups: general anesthesia (GA) and spinal anesthesia (SA). Results: We demonstrate that it is also more stable in SA, which is around (56%), compared to (GA), which is roughly (40%). However, blood pressure is higher in (GA), which was (32%), and in (SA), which was (24%), and lower in (GA), which was (28%), and in SA, it was (20%). As demonstrated in this study, the heart rate is more stable in (SA 56%) compared to (GA 32%), and it increases in (SA 34%), while it increases in (GA 60%). The impact of (SA) is more consistent, and the heart rate dropped by 10% in (SA) and around 8% in (GA). Conclusions: We discovered that spinal anesthesia was superior to general anesthesia in terms of maintaining minimum or normal heart rate and blood pressure stability.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Comparison Between General Anesthesia and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Hernia Repair in Hospitals in the Iraqi City of Karbala

AU  - Adnan Abdul Adheem Kadhim
AU  - Haider Ahmed Jalab Salem Al-Khikani
AU  - Qasim Muhammad Hamza
AU  - Yass Khudair Habib
AU  - Muhammad Mohsen Hussein
AU  - Hassan Taqi Muhammad
Y1  - 2024/12/25
PY  - 2024
N1  - https://doi.org/10.11648/j.wjmcr.20240502.13
DO  - 10.11648/j.wjmcr.20240502.13
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 27
EP  - 32
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20240502.13
AB  - Introduction: When it comes to methods, drugs, strategies, and guidelines for selecting the best anesthesia, the primary concern of the anesthesia and critical care department staff remains selecting the anesthetic that poses the least risk to the patient's life. For individuals who repair hernias, spinal anesthesia is the most effective and common type of anesthetic. Subjects and methods: a current and precise analysis of the patients that visit Karbala's Al-Hassan Hospital and Al-Hussein Medical City. We separated the (100) patients who had a herniotomy into two groups based on the forms of spinal and general anesthesia (50) patients were put under spinal anesthesia and (50) patients were put under general anesthesia. Analysis was done on the patient's age, weight, blood pressure change, and pulse rate. In order to conduct meticulous follow-up before to, during, and following procedures, the study examined patients between the ages of (20) and (90) and separated them into two groups: general anesthesia (GA) and spinal anesthesia (SA). Results: We demonstrate that it is also more stable in SA, which is around (56%), compared to (GA), which is roughly (40%). However, blood pressure is higher in (GA), which was (32%), and in (SA), which was (24%), and lower in (GA), which was (28%), and in SA, it was (20%). As demonstrated in this study, the heart rate is more stable in (SA 56%) compared to (GA 32%), and it increases in (SA 34%), while it increases in (GA 60%). The impact of (SA) is more consistent, and the heart rate dropped by 10% in (SA) and around 8% in (GA). Conclusions: We discovered that spinal anesthesia was superior to general anesthesia in terms of maintaining minimum or normal heart rate and blood pressure stability.

VL  - 5
IS  - 2
ER  -

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