Abstract

ABSTRACT:
BACK GROUND:
Day case surgery issurgery where patient returns home on same day of surgery, saving resources, money decreases in-patients number with rapid turnover. Question about the ideal type of anasthesia for such surgery is of interest of many studies.
OBJECTIVE:
To comparing time to discharge after perianal surgery for patient received spinal anasthesia versus patients received general anasthesia, sample was taken between February 2007,and July 2010, in a private day clinic in Baghdad.
PATIENTS AND METHODS:
Study included 200 patients ASA(I-II), age 18-60 years. One hundred patients had been received spinal anasthesia with small dose lidocaine 2%, other 100 were received general anasthesia with either propofol or pentothal.
RESULTS:
Indicate thatspinal anaesthesia with small dose lidocaine achieves shorter time to discharge patients versus general anasthesia; mean time for spinal anasthesia was 105.69min and for general was147.57 min.
CONCLUSION:
Spinal anaesthesia is a good option for outpatient surgery in comparison to general anasthesia regarding time to discharge patients, and we can achieve better results by simple manipulation in techniques and drug dosage which might decrease unwanted side effects of S.A.