A COMPARATIVE STUDY BETWEEN THE EFFECTS OF SPINAL ANAESTHESIA AND GENERAL ANAESTHESIA ON BLOOD GLUCOSE CONCENTRATION IN PATIENTS UNDERGOING TRANSURETHRAL LITHOTRIPSY
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Keywords
Blood glucose, General anaesthesia, Spinal anaesthesia, and Transurethral Lithotripsy.
Abstract
Background: Any surgical procedure causes stress response, endocrine stimulation, and metabolic and immunological changes by activating the hypothalamic-pituitary-adrenal axis. The goal of the current study was to examine the impact of spinal anaesthesia with general anaesthesia on patients undergoing transurethral lithotripsy by measuring their random blood sugar levels.
Aim of the study: To compare blood glucose level in spinal anaesthesia with general anaesthesia for patients undergoing transurethral lithotripsy.
Patients and Methods: The group of participants included patients selected for spinal anaesthesia and the other group included patients selected for general anaesthesia. For both groups, blood glucose was measured at different times: five minutes before induction T1, five minutes after induction T2, five minutes before the end of the procedure T3, and 30 minutes after the end of the procedure T4. Significant differences in categorical variables among the parameters were confirmed through analytical statistical tests.
Results: The mean blood glucose in T3 (99.67±10.25) and T4 (100.87±7.67) in the spinal anaesthesia group was significantly lower than T3 (156.67±34.34) and T4 (194.27±43.61) in general anaesthesia group (p<0.001). Furthermore, in the general anaesthesia group, the increase in blood glucose in the time intervals T1-T2, T2-T3, T3-T4, and T1-T4 was significant respectively.
Conclusion: The results of this study showed that spinal anaesthesia is the better method to prevent increase in blood glucose than general anaesthesia.
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Dr Saurav Das
Senior Resident, Department of Cardiac Anaesthesiology, IPGMER & SSKM Hospital, Kolkata, West Bengal, India
Dr Shailika Sharma Dutta
Senior Registrar, Department of Anaesthesiology, Ruby General Hospital, Kolkata, West Bengal, India
Dr Debajyoti Dutta
Junior Consultant, Department of Neuroanaesthesiology, Institute of Neurosciences, Kolkata,
West Bengal, India
Dr Somrita Pal
Associate Consultant, Department of Cardiac Anaesthesiology, R N Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India
Dr. Amurta Bandyopadhyay
Specialist Medical Officer, Department of Orthopaedics, ESI Serampore Hospital, Hooghly, West Bengal, India
Dr Prasanta Kumar Das
Professor, Department of Psychiatry, Nil Ratan Sircar Medical College & Hospital, Kolkata, West Bengal, India