A eficiência da anestesia neuroaxial comparada à anestesia geral para a revascularização dos membros inferiores em idosos: revisão sistemática com metanálise de ensaios clínicos aleatórios
Context. One of the most controversial subjects in anaesthesia today is whether or not neuraxial anaesthesia is more efficient to general anaesthesia in high-risk patients undergoing noncardiac surgery. The cumulative results showed that the incidence of postoperative cardiovascular morbidity and mo...
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| Tipo de recurso: | tesis de maestría |
| Estado: | Versión publicada |
| Fecha de publicación: | 2008 |
| País: | Brasil |
| Institución: | Universidade Federal de Alagoas (UFAL) |
| Repositorio: | Repositório Institucional da Universidade Federal de Alagoas (UFAL) |
| Idioma: | portugués |
| OAI Identifier: | oai:www.repositorio.ufal.br:riufal/907 |
| Acceso en línea: | http://repositorio.ufal.br/handle/riufal/907 |
| Access Level: | acceso embargado |
| Palabra clave: | Efficiency Anesthesia, general Anesthesia, conduction Reperfusion Limb salvage Elderly Mortality Cerebral infarction Myocardial infarction Postoperative period Randomized controlled trials Meta-analyse Eficiência Anestesia geral Anestesia regional Reperfusão Salvamento de membro Idoso Mortalidade Infarto cerebral Infarto cardíaco Período pós-operatório Ensaios clínicos aleatórios Metanálise CNPQ::CIENCIAS DA SAUDE::MEDICINA::CIRURGIA::ANESTESIOLOGIA |
| Sumario: | Context. One of the most controversial subjects in anaesthesia today is whether or not neuraxial anaesthesia is more efficient to general anaesthesia in high-risk patients undergoing noncardiac surgery. The cumulative results showed that the incidence of postoperative cardiovascular morbidity and mortality is similar, regardless of type of the anaesthesia. So, is relevant to answer the search question: what is the efficiency of the neuraxial anaesthesia compared with general anaesthesia for lower-limbs revascularization in elderly? Objective. It is to determine the efficiency of the neuraxial anaestheisa versus general anaesthesia for lower-limbs revascularization in elderly. Hypothesis. The hypothesis is that the neuraxial anaestesia is more efficient (OR 0.67) than general anaesthesia for lower-limbs revascularization in elderly. Design. Systematic review with meta-analyse of the original articles of the randomized controlled trials. Setting. Federal University of Alagoas, Maceió, AL. Sample. Original articles of the randomized controlled trials that compared two anaesthetic technique (neuraxial anaesthesia vs. general anaesthesia) in elderly submitted to lower-limbs revascularization surgery. The information was accessed from EMBASE, LILACS, MEDLINE, CINHAL and ISI WEB OF SCIENCE. Main outcomes. Primary outcomes: Mortality, cerebral infarction, myocardial infarction, paralysis and postoperative lower limb amputation rate. Secondary outcomes: Duration of hospital stay, postoperative cognitive dysfunction, postoperative wound infection, other postoperative infections, neuraxial haematoma and complications in the anaesthetic recovery room. Complementary data: internal validity, external validity and statistical analyze. Statistical methods. For data analysis the odds ratio were used in the randon effect model with corresponding 95% confidence interval. |
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