[Hemodynamic effects of genu-pectoral position during the surgery of lumbar disk herniation: spinal anesthesia versus general anesthesia].

M C Becq, M Verdin, B Riegel, P Fesard, V Moinardeau, B Delehaye, P Adnet, R Krivosic-Horber
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Abstract

Spinal anesthesia (SA) for lumbar disk surgery in the genu-pectoral position (GP) has been proposed as an alternative to general anesthesia (GA). This study compares the haemodynamic effects of GP in two groups of patients undergoing either SA (n = 43) or GA (n = 40). Mean arterial pressure (MAP) and heart rate (HR) were recorded before and after GP. MAP and HR were significantly lower in the GA group after GP. We conclude that SA during GP for lumbar disk surgery is haemodynamically well tolerated.

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[腰椎间盘突出症手术中膝胸位的血流动力学影响:脊髓麻醉与全身麻醉]。
在膝胸位(GP)的腰椎间盘手术中,脊髓麻醉(SA)已被提议作为全身麻醉(GA)的替代方法。本研究比较了GP在两组接受SA (n = 43)或GA (n = 40)的患者中的血流动力学影响。记录GP前后平均动脉压(MAP)和心率(HR)。GP后GA组MAP和HR显著降低。我们得出结论,在腰椎间盘手术GP期间SA在血流动力学上是耐受良好的。
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