Objective:

To investigate the effect of combined spinal–epidural anesthesia (CSEA) and general anesthesia on the satisfaction of operating room personnel, surgeons, and anesthesia team during percutaneous nephrolithotomy (PCNL), focusing on specific satisfaction metrics.

Key Findings:

• Satisfaction scores were collected from the surgical team, anesthesia team, and operating room personnel, revealing statistically significant differences in satisfaction levels between the two anesthesia techniques.
• Postoperative pain levels and analgesic requirements were evaluated using the visual analog scale (VAS), indicating varying outcomes based on anesthesia type.

Interpretation:

The study provides insights into the satisfaction levels of surgical teams and operating room personnel when using CSEA compared to general anesthesia, highlighting the potential benefits of CSEA in terms of comfort, safety, and overall satisfaction.

Limitations:

• The study was limited to a single institution, which may affect generalizability and introduce potential biases.
• Sample size was relatively small, with only 44 patients enrolled, limiting the statistical power of the findings.

Conclusion:

CSEA may offer advantages in terms of satisfaction for surgical teams and operating room personnel compared to general anesthesia during PCNL, warranting further investigation in larger, multi-center studies to validate these findings.