Assessing the outcomes, risks, and costs of local versus general anesthesia: A review with implications for cutaneous surgery - 19/04/18
Abstract |
Background |
There is a paucity of data providing direct comparison of outcomes, complications, and costs between general and local anesthesia in cutaneous surgery.
Objective |
Analyze the literature from dermatologic and other specialties to compare outcomes, risks, and costs of general and local anesthesia.
Methods |
A retrospective analysis of case comparison studies from other specialties comparing outcomes, risks, and/or costs in local versus general anesthesia was performed. A review of the literature from dermatology and other specialties was included.
Results |
A total of 51 studies were selected; 41 of them directly examined outcomes in procedures performed under local and general anesthesia, and none found a significant difference in outcomes. A total of 41 studies measured adverse effects. Of these, 15 studies (36.6%) report significantly better outcomes between the 2 techniques. Only 2 studies (4.9%) report significantly improved outcomes with use of general anesthesia; 15 of 36 studies (41.7%) report fewer adverse events in local anesthesia. Of the 13 studies that examined costs, all (100%) found significantly decreased costs with use of local anesthesia.
Limitations |
These data cannot be seamlessly applied to all cases of cutaneous surgery.
Conclusion |
Local anesthesia techniques provide outcomes equal to or better than general anesthesia and with significantly lower costs.
Le texte complet de cet article est disponible en PDF.Key words : cutaneous surgery, dermatologic surgery, general anesthesia, general anesthetic complications, local anesthesia, local anesthetic complications
Abbreviations used : GA, LA
Plan
Funding sources: None. |
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Conflicts of interest: None disclosed. |
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Presented at the Cosmetic Surgery Forum, Las Vegas, NV; December 2-5, 2015. |
Vol 78 - N° 5
P. 983 - mai 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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