Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients
Purpose: Endovenous laser ablation (EVLA) for superficial venous insufficiency is traditionally performed under tumescent local anesthesia as day case surgery. The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.M...
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| Veröffentlicht in: | Annals of Thoracic and Cardiovascular Surgery 2014, Vol.20(1), pp.55-60 |
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| container_title | Annals of Thoracic and Cardiovascular Surgery |
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| creator | Arun, Oguzhan Oc, Bahar Duman, Ates Yildirim, Serkan Simsek, Murat Farsak, Bora Oc, Mehmet |
| description | Purpose: Endovenous laser ablation (EVLA) for superficial venous insufficiency is traditionally performed under tumescent local anesthesia as day case surgery. The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.Methods: The anesthesia and clinical registration records of 341 extremities of 300 adult patients were reviewed and analyzed retrospectively. Demographic and clinical data, preoperative anesthetic evaluation data (ASA physical status, preoperative airway assessment, Mallampati score), type of supraglottic device, duration of anesthesia and surgery, any surgical and/or anesthetic complication, timing of mobilization and discharge, and postoperative course were evaluated.Results: Mean duration of operation and anesthesia was 28 (12–55) and 40 (20–65) minutes, respectively. Mobilization and discharge timing was 25 (11–45) and 139 (110–200) minutes, respectively. All patients were discharged the same day of surgery.Conclusion: The combination technique of administering general anesthesia with supraglottic device and tumescent anesthesia is a safe and effective method to reduce the patients’ pain and discomfort during the EVLT procedure within the scope of day case surgery. |
| doi_str_mv | 10.5761/atcs.oa.13-00222 |
| format | Article |
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The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.Methods: The anesthesia and clinical registration records of 341 extremities of 300 adult patients were reviewed and analyzed retrospectively. Demographic and clinical data, preoperative anesthetic evaluation data (ASA physical status, preoperative airway assessment, Mallampati score), type of supraglottic device, duration of anesthesia and surgery, any surgical and/or anesthetic complication, timing of mobilization and discharge, and postoperative course were evaluated.Results: Mean duration of operation and anesthesia was 28 (12–55) and 40 (20–65) minutes, respectively. Mobilization and discharge timing was 25 (11–45) and 139 (110–200) minutes, respectively. All patients were discharged the same day of surgery.Conclusion: The combination technique of administering general anesthesia with supraglottic device and tumescent anesthesia is a safe and effective method to reduce the patients’ pain and discomfort during the EVLT procedure within the scope of day case surgery.</description><identifier>ISSN: 1341-1098</identifier><identifier>EISSN: 2186-1005</identifier><identifier>DOI: 10.5761/atcs.oa.13-00222</identifier><identifier>PMID: 24807474</identifier><language>eng</language><publisher>Japan: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</publisher><subject>Adult ; Aged ; Ambulatory Surgical Procedures - adverse effects ; Anesthesia, General - adverse effects ; Anesthesia, Local ; Chronic Disease ; endovenous laser ablation ; Feasibility Studies ; Female ; general anesthesia ; Humans ; Laryngeal Masks ; Laser Therapy - adverse effects ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Pain, Postoperative - etiology ; Pain, Postoperative - prevention & control ; Patient Discharge ; Retrospective Studies ; supraglottic airway device ; Time Factors ; Treatment Outcome ; Venous Insufficiency - diagnosis ; Venous Insufficiency - surgery ; Young Adult</subject><ispartof>Annals of Thoracic and Cardiovascular Surgery, 2014, Vol.20(1), pp.55-60</ispartof><rights>2014 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c595t-cf5dc0a83fe6b7965ffc7e5454c9ff382c6f7ada95ed941ff66ef9a288e6415c3</citedby><cites>FETCH-LOGICAL-c595t-cf5dc0a83fe6b7965ffc7e5454c9ff382c6f7ada95ed941ff66ef9a288e6415c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24807474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arun, Oguzhan</creatorcontrib><creatorcontrib>Oc, Bahar</creatorcontrib><creatorcontrib>Duman, Ates</creatorcontrib><creatorcontrib>Yildirim, Serkan</creatorcontrib><creatorcontrib>Simsek, Murat</creatorcontrib><creatorcontrib>Farsak, Bora</creatorcontrib><creatorcontrib>Oc, Mehmet</creatorcontrib><title>Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients</title><title>Annals of Thoracic and Cardiovascular Surgery</title><addtitle>ATCS</addtitle><description>Purpose: Endovenous laser ablation (EVLA) for superficial venous insufficiency is traditionally performed under tumescent local anesthesia as day case surgery. The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.Methods: The anesthesia and clinical registration records of 341 extremities of 300 adult patients were reviewed and analyzed retrospectively. Demographic and clinical data, preoperative anesthetic evaluation data (ASA physical status, preoperative airway assessment, Mallampati score), type of supraglottic device, duration of anesthesia and surgery, any surgical and/or anesthetic complication, timing of mobilization and discharge, and postoperative course were evaluated.Results: Mean duration of operation and anesthesia was 28 (12–55) and 40 (20–65) minutes, respectively. Mobilization and discharge timing was 25 (11–45) and 139 (110–200) minutes, respectively. All patients were discharged the same day of surgery.Conclusion: The combination technique of administering general anesthesia with supraglottic device and tumescent anesthesia is a safe and effective method to reduce the patients’ pain and discomfort during the EVLT procedure within the scope of day case surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Surgical Procedures - adverse effects</subject><subject>Anesthesia, General - adverse effects</subject><subject>Anesthesia, Local</subject><subject>Chronic Disease</subject><subject>endovenous laser ablation</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>general anesthesia</subject><subject>Humans</subject><subject>Laryngeal Masks</subject><subject>Laser Therapy - adverse effects</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Patient Discharge</subject><subject>Retrospective Studies</subject><subject>supraglottic airway device</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Venous Insufficiency - diagnosis</subject><subject>Venous Insufficiency - surgery</subject><subject>Young Adult</subject><issn>1341-1098</issn><issn>2186-1005</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1vEzEURS0EoqGwZ4W8ZDPB3-NhF5WmRYpUJGBtvXie26kmdrBnKuXf45ASdePnJ517ZF9CPnK21K3hX2DyZZlgyWXDmBDiFVkIbk3DGdOvyYJLxeu9sxfkXSmPjElrDHtLLoSyrFWtWpD9dezTE8Y0F7qBgpmutiNMQ4p0jn1dbzBihpGuIpbpAcsANKRMv8GB_pzzPebDV7pGKMN2GIfpQCH29G6efNphoSnQmqGSMfqjSjFO5T15E2As-OF5XpLf6-tfV7fN5u7m-9Vq03jd6anxQfeegZUBzbbtjA7Bt6iVVr4LQVrhTWihh05j3ykegjEYOhDWolFce3lJPp-8-5z-zPXtbjcUj-MIEetnHddCKqY7qyrKTqjPqZSMwe3zsIN8cJy5Y8_u2LNL4Lh0_3qukU_P9nm7w_4c-F9sBdYn4LFMcI9nAPI0-BFPRsEcPx4vzGfAP0B2GOVfj-uUsw</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Arun, Oguzhan</creator><creator>Oc, Bahar</creator><creator>Duman, Ates</creator><creator>Yildirim, Serkan</creator><creator>Simsek, Murat</creator><creator>Farsak, Bora</creator><creator>Oc, Mehmet</creator><general>The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2014</creationdate><title>Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients</title><author>Arun, Oguzhan ; Oc, Bahar ; Duman, Ates ; Yildirim, Serkan ; Simsek, Murat ; Farsak, Bora ; Oc, Mehmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c595t-cf5dc0a83fe6b7965ffc7e5454c9ff382c6f7ada95ed941ff66ef9a288e6415c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Surgical Procedures - adverse effects</topic><topic>Anesthesia, General - adverse effects</topic><topic>Anesthesia, Local</topic><topic>Chronic Disease</topic><topic>endovenous laser ablation</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>general anesthesia</topic><topic>Humans</topic><topic>Laryngeal Masks</topic><topic>Laser Therapy - adverse effects</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Patient Discharge</topic><topic>Retrospective Studies</topic><topic>supraglottic airway device</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Venous Insufficiency - diagnosis</topic><topic>Venous Insufficiency - surgery</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Arun, Oguzhan</creatorcontrib><creatorcontrib>Oc, Bahar</creatorcontrib><creatorcontrib>Duman, Ates</creatorcontrib><creatorcontrib>Yildirim, Serkan</creatorcontrib><creatorcontrib>Simsek, Murat</creatorcontrib><creatorcontrib>Farsak, Bora</creatorcontrib><creatorcontrib>Oc, Mehmet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of Thoracic and Cardiovascular Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arun, Oguzhan</au><au>Oc, Bahar</au><au>Duman, Ates</au><au>Yildirim, Serkan</au><au>Simsek, Murat</au><au>Farsak, Bora</au><au>Oc, Mehmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients</atitle><jtitle>Annals of Thoracic and Cardiovascular Surgery</jtitle><addtitle>ATCS</addtitle><date>2014</date><risdate>2014</risdate><volume>20</volume><issue>1</issue><spage>55</spage><epage>60</epage><pages>55-60</pages><issn>1341-1098</issn><eissn>2186-1005</eissn><abstract>Purpose: Endovenous laser ablation (EVLA) for superficial venous insufficiency is traditionally performed under tumescent local anesthesia as day case surgery. The aim of this study is to evaluate the feasibility of general anesthesia in addition to tumescent anesthesia in patients undergoing EVLA.Methods: The anesthesia and clinical registration records of 341 extremities of 300 adult patients were reviewed and analyzed retrospectively. Demographic and clinical data, preoperative anesthetic evaluation data (ASA physical status, preoperative airway assessment, Mallampati score), type of supraglottic device, duration of anesthesia and surgery, any surgical and/or anesthetic complication, timing of mobilization and discharge, and postoperative course were evaluated.Results: Mean duration of operation and anesthesia was 28 (12–55) and 40 (20–65) minutes, respectively. Mobilization and discharge timing was 25 (11–45) and 139 (110–200) minutes, respectively. All patients were discharged the same day of surgery.Conclusion: The combination technique of administering general anesthesia with supraglottic device and tumescent anesthesia is a safe and effective method to reduce the patients’ pain and discomfort during the EVLT procedure within the scope of day case surgery.</abstract><cop>Japan</cop><pub>The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</pub><pmid>24807474</pmid><doi>10.5761/atcs.oa.13-00222</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Ambulatory Surgical Procedures - adverse effects Anesthesia, General - adverse effects Anesthesia, Local Chronic Disease endovenous laser ablation Feasibility Studies Female general anesthesia Humans Laryngeal Masks Laser Therapy - adverse effects Length of Stay Male Middle Aged Operative Time Pain, Postoperative - etiology Pain, Postoperative - prevention & control Patient Discharge Retrospective Studies supraglottic airway device Time Factors Treatment Outcome Venous Insufficiency - diagnosis Venous Insufficiency - surgery Young Adult |
| title | Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients |
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