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

• Ano de defesa: 2008
• Autor(a) principal: Barbosa, Fabiano Timbó
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso embargado
• Idioma: por
• Instituição de defesa: Universidade Federal de Alagoas; BR; Programa de Pós-Graduação em Ciências da Saúde; UFAL
• Palavras-chave em Português: 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
• Link de acesso: http://repositorio.ufal.br/handle/riufal/907

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.