Comparison of hypotensive epidural anesthesia and hypotensive total intravenous anesthesia on intraoperative blood loss during total hip replacement

Eroğlu, Ahmet; Uzunlar, Halil; Erciyes, Nesrin

doi:10.1016/j.jclinane.2004.09.006

Cited by 54 publications

(36 citation statements)

References 14 publications

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“…15 Berggren et al 15 Bigler et al 16 Casati et al 18 Davis et al 22 Davis et al 23 Eroglu et al 25 Hole et al 27 Jones et al 28 Juelsgaard et al 30 McKenzie et al 34 McLaren et al 35 Nielson et al 37 Racle et al 38 Riis et al 39 Valentin et al 41 White et al 42 Williams-Russo et al 43 Random = 0.00; Chi 2 = 14.80, df = 10 (P = 0.14); I 2 = 32% Test for overall effect: Z = 1.15 (P = 0.25) Test for subgroup differences: Chi 2 = 1.29, df = 2 (P = 0.53); I 2 = 0% not possible to pool the data for degree of satisfaction, blood transfusion requirements or quality of life. The data on the degree of satisfaction and blood transfusion requirements were not described correctly in the studies included.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, 17 articles with the potential to answer our research question were identified. 15,16,18,22,23,25,27,29,30,34,35,[37][38][39]41,42,44 We also analyzed 441 titles from the reference lists of these 17 studies included, but did not find any additional studies (Figure 1). …”

Section: Study Selectionmentioning

confidence: 99%

“…The method used by the authors to conceal the allocation sequence was described correctly in four of the studies included. 18,25,27,29 The other studies did not report any details regarding allocation concealment that would make it possible to determine whether this process had been free of bias.…”

Section: Study Validitymentioning

confidence: 99%

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Neuraxial anesthesia for orthopedic surgery: systematic review and meta-analysis of randomized clinical trials

2013

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CONTEXT AND OBJECTIVE: Taking the outcome of mortality into consideration, there is controversy about the beneficial effects of neuraxial anesthesia for orthopedic surgery. SciELO, EMBASE (1974 to November 2012 and reference lists of the studies included. Only randomized controlled trials were included. RESULTS: Out of 5,032 titles and abstracts, 17 studies were included. There were no statistically significant differences in mortality (risk difference, RD: -0.01; 95% confidence interval, CI: -0.04 to 0.01; n = 1903), stroke (RD: 0.02; 95% CI: -0.04 to 0.08; n = 259), myocardial infarction (RD: -0.01; 95% CI: -0.04 to 0.02; n = 291), length of hospitalization (mean difference, -0.05; 95% CI: -0.69 to 0.58; n = 870), postoperative cognitive dysfunction (RD: 0.00; 95% CI: -0.04 to 0.05; n = 479) or pneumonia (odds ratio, 0.61; 95% CI: 0.25 to 1.49; n = 167). CONCLUSION: So far, the evidence available from the studies included is insufficient to prove that neuraxial anesthesia is more effective and safer than general anesthesia for orthopedic surgery. However, this systematic review does not rule out clinically important differences with regard to mortality, stroke, myocardial infarction, length of hospitalization, postoperative cognitive dysfunction or pneumonia. CONCLUSÃO: Até o momento, as evidências são insuficientes nos estudos incluídos para provar que AN é mais efetiva e segura do que AG para cirurgias ortopédicas. Esta revisão sistemática não descartou diferenças clínicas importantes para mortalidade, acidente vascular encefálico, infarto miocárdico, tempo de internação, disfunção cognitiva pós-operatória e pneumonia. RESUMO IMSc. Professor,

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Section: Discussionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

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Neuraxial anesthesia for orthopedic surgery: systematic review and meta-analysis of randomized clinical trials

2013

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“…Hypotensive epidural anesthesia (HEA) was one of the anesthetic techniques used to reduce perioperative blood loss and transfusion requirements in hip surgeries. In a clinical study, Eroglu et al [4] reported that in spite the similar mean arterial pressure (50-60 mmHg) levels noted between groups, HEA resulted in less intraoperative blood loss than HTIVA during primary total hip replacement. Macfarlane et al [14] performed a systematic review of the literature to compare general anesthesia (GA) and regional anesthesia (RA) and also systemic and regional analgesia for THA.…”

Section: Hip Jointmentioning

confidence: 95%

“…Regional anesthesia techniques are not only performed for adequate anesthesia in the orthopedic surgical procedures. They have also other advantages including excellent postoperative pain control, reduced side effects, decreased blood loss, and shortened stay in the postanesthesia care unit (PACU) [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Regional Anesthesia Techniques in Orthopedic Surgery

Eroğlu¹

2016

JACCOA

Self Cite

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Background: The effect of regional anesthesia techniques on orthopedic surgeries is very actual topic in current clinical practice. Aim:The aim of this review article was to research regional anesthesia techniques for postoperative pain control and outcomes in orthopedic surgeries. Methods:The English literature was reviewed based on a search regional anesthesia and orthopedic surgery in clinical studies.Major findings: A number of authors proposed that regional anesthesia in orthopedic patients may be associated with better postoperative pain control and a reduction in intraoperative blood loss when compared with general anesthesia. Conclusion:In the future regional anesthesia techniques will be more preferable anesthetic technique in orthopedic surgeries.

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Controlled Hypotension Decreases Blood Transfusion Requirement: Fact or Fallacy?

Dutton

2010

Alternatives to Blood Transfusion in Transfusion Medicine

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Comparison of hypotensive epidural anesthesia and hypotensive total intravenous anesthesia on intraoperative blood loss during total hip replacement

Cited by 54 publications

References 14 publications

Neuraxial anesthesia for orthopedic surgery: systematic review and meta-analysis of randomized clinical trials

Neuraxial anesthesia for orthopedic surgery: systematic review and meta-analysis of randomized clinical trials

Regional Anesthesia Techniques in Orthopedic Surgery

Controlled Hypotension Decreases Blood Transfusion Requirement: Fact or Fallacy?

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