Efficacy and Safety of 3 Different Anesthesia Techniques Used in Total Hip Arthroplasty
نویسندگان
چکیده
BACKGROUND This study compared the efficacy and safety of 3 different anesthesia techniques used in total hip arthroplasty (THA). MATERIAL AND METHODS We allocated 198 patients preparing to undertake THA into 3 groups: general anesthesia group (GA group, n=66), caudal epidural anesthesia group (CEA group, n=66), and spinal-epidural anesthesia group (SEA group, n=66). We compared postoperative adverse effects occurring in patients of the 3 anesthesia groups. The Visual Analog Scale (VAS) score, Minimum Mental State Examination (MMSE) score, and β-amyloid (Aβ) expression were calculated to determine the effects of different anesthesia on the postoperative pain and cognitive dysfunction of patients. RESULTS The CEA and SEA groups had lower rates of perioperative adverse effects than in the GA group. Patients in the GA group required significantly higher administration of analgesics after the surgery than those in CEA and SEA groups. Higher Aβ expression levels and VAS scores, as well as lower MMSE scores, were also seen in the GA group compared with the other 2 groups. CONCLUSIONS CEA and SEA were more effective than GA in THA, and CEA seemed to be a better anesthesia technique than SEA.
منابع مشابه
Tranexamic Acid in Total Joint Arthroplasty: Efficacy and Safety
Despite improvements in surgical and anesthetic techniques, total joint arthroplasty (TJA) is still associated with substantial blood loss and postoperative anemia (1). A considerable portion of patients with postoperative anemia require blood transfusion, which has been shown to negatively affect the outcome of TJA and predisposes patients to development of surgical site infection and peripr...
متن کاملProtocols for Management of Underserved Patients Undergoing Arthroplasty: A National Survey of Safety Net Hospitals
Background: Although it has been shown that perioperative protocols enhance arthroplasty care and safety, it isnot known how prevalent their use is in safety net hospitals, which operate with a mandate to treat the poor andunderserved. Understanding the elements currently included in standard perioperative arthroplasty protocols at variousinstitutions may help guide future interventions and pol...
متن کاملMagnetic Resonance Imaging Assessment of Hip Abductor after Total Hip Arthroplasty Using a Direct Lateral Approach
Background: Surgical techniques and rehabilitations after total hip arthroplasty (THA) play a significant role in theimprovement of pain and limping. This study aimed to assess hip abductor muscle’s diameter and its strength after 6months postoperative THA performed by Hardinge approach.Methods: After obtaining the patients’ demographic characteristics, the preoperative values...
متن کاملIn-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures
Background: Previous studies suggest total hip arthroplasty may have some benefits compared to hemi-arthroplasty for displaced intracapsular femoral neck fractures in patients more than 60 years of age. The primary research question of our study was whether in-hospital adverse events, post-operative length of stay (LOS) and mortality in patients 60 year of age or older differed between tot...
متن کاملFunctional Mobility and Balance After Total Hip Arthroplasty and Healthy Elders
Objectives: The purpose of this study was to determine the functional mobility and balance in the elders after Total Hip Arthroplasty in healthy coparison to elders. Methods & Materials: The current cross-sectional study was done on 20 patients (70.9±4.2) with hip osteoarthritis 6 months after Total Hip Arthroplasty and 20 healthy subjects (73±5.7) as control group. Patient group was assigne...
متن کامل