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British Journal of Anaesthesia, 1980, Vol. 52, No. 1 49-54
© 1980 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

COMPARISON OF THE EFFECTS OF SPINAL ANAESTHESIA AND GENERAL ANAESTHESIA ON POSTOPERATIVE OXYGENATION AND PERIOPERATIVE MORTALITY

P. J. MCKENZIE, F.F.A.R.C.S., H. Y. WISHART, F.F.A.R.C.S., K. M. S. DEWAR, F.F.A.R.C.S., I. GRAY, F.R.C.S. and G. SMITH, M.D., F.F.A.R.C.S.*

Division of Anaesthesia, Western Infirmary Glasgow, G11 6NT
Department of Orthopaedic Surgery, Western Infirmary Glasgow, G11 6NT
University Department of Anaesthesia, Western Infirmary Glasgow, G11 6NT

One hundred patients presenting for surgical treatment of fractured neck of femur were allocated to receive either spinal (SAB) or general (GA) anaesthesia. Before operation, the mean Pao2 was 9.04 kPa. There was a significant decrease in Pao1 of 0.68 kPa in GA group at 1 h after operation, while blood-gas values were unchanged in SAB group. Eight patients (15.7%) in GA group and five patients (10.2%) in SAB group died within 4 weeks of surgery. The difference was not statistically significant.

* Present address: Department of Anaesthetics, The General Hospital, Gwendolen Road, Leicester LE5 4PW.


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