Effectiveness of Anaesthesia for Appendicectomy: Comparison of spinal anaesthesia with other modalities being practiced in Emergency Department of Allama Iqbal Memorial Teaching Hospital.

Aim: to determine the effectiveness,relative intra and post operative complications,postoperative recovery and cost effectiveness of spinal anaesthesia (sa)/regional anaesthesia (ra) compared with other modalities for appendicectomy. study design: prospective,comparative observational study. time and place of study: department of anaesthesia and surgery; allama iqbal memorial teaching hospital,sialkot from 1st august 2016 till 31 july 2017. methods: all patients undergoing appendectomy in specified time period with asa (american society of anesthesiologists) i and asa ii and having completed follow up of 2 months were included in study. patients having perforated appendix undergoing laprotomy,with known history of diabetes mellitus,having asa iii,asa iv,asa v,having previous surgery,patients who left against medical advice and those who didn't completed the follow up of 2 months were excluded from study. results: out of 350 patients that were included 328(93.75%f) patients had acute appendicitis while 22(6.28%) of patients doesn't had acute appendicitis on peroperative diagnosis. male to female ratio was 1:3.20 group i - spinal anaesthesia included 112(32%) patients,group ii (a) general anaesthesia with intubation included 123(35.14%) patients,while group ii (b) general anaesthesia without intubation included 115(32.85%) patients. maximum number of patients lies in 11-20 years age group i.e.,186(53.00%). conclusion: spinal anaesthesia is a safe,cost effective with minimal per and postoperative complications,efficient and effective modality for appendicectomy in emergency setting as compared to other modalities like general anaesthesia with or without endotracheal intubation.