Retrospective Evaluation of Anesthesia Techniques for Hip Replacement Operations

Abstract

Objective: In this retrospective study, we evaluated the demographic characteristics of patients that underwent hip replacement surgery in our orthopedic clinic. Associated diseases, preoperative laboratory findings, intraoperative findings, and the effect of admission or refusal to the intensive care unit on postoperative mortality and morbidity were recorded. Furthermore, we tried to identify surgical and anaesthetic methods applied, intraoperative hemodynamic changes, length of stay in the post-anaesthesia care unit, and postoperative complications.Methods: Demographic characteristics, co-morbidities, preoperative laboratory findings, intraoperative findings, and admission or refusal to the intensive care unit of patients who underwent hip replacement surgery between January 2008-December 2010 were enrolled. Results:Out of 500 patients, 33.4% (n=164) were operated under general anaesthesia, 34% (n=170) under combined spinal-epidural anaesthesia, 22.2% (n=111) under spinal anaesthesia, 6.4% (n=32) under combined lomber plexus block and sciatic nerve block, and 4% (n=20) under epidural anaesthesia. Mean hospital stay was 7 days in the general anaesthesia group and 5 days in the regional anaesthesia group. Conclusion:American Society of Anesthesiologists (ASA) scores and incidence of co-morbidities were higher in the partial hip replacement group. Admission to the intensive care unit was lower in the total hip replacement group. Hospital stay was shorter in the partial hip replacement group. Mortality rates on the 7 th and 30 th days were higher in the partial hip replacement group.Key Words: Hip replacement, anaesthesia, retrospective evaluation Abstract Introduction

Assessment of Complications Associated with Various Anesthetic Techniques in Patients Undergoing Hip Replacement Surgeries: A Retrospective Study

“…American Society of Anesthesiologists (ASA) scores and incidence of co-morbidities were higher in the partial hip replacement group. [11]…”

Two types of anesthesia and Hemodynamic changes in Patients over 60 years of age who need artificial femoral head replacement: a retrospective cohort study

“…In this study, we included the following covariables, which can be summarized as follows :(1) Demographic data; (2) Variables that can affect hemodynamic changes reported in previous literature; (3) According to our clinical experience. Therefore, the following variables were used to construct a fully adjusted model :(1) continuous variables: age, baseline systolic blood pressure, baseline diastolic blood pressure, and baseline heart rate (obtained at baseline); (2) Classi cation variables: gender, hypertension, diabetes, heart disease, lung disease, central nervous system disease.…”

“…In this study, we evaluated the role of CSEA and CLPSB in hemodynamics during arti cial femoral head replacement in elderly patients. [3] Participants And Methods…”

Two Types of Anesthesia and Hemodynamic Changes in Patients Over 60 Years of Age Who Need Artificial Femoral Head Replacement: A Retrospective Cohort Study

“…In this study, we evaluated the role of CSEA and CLPSB in hemodynamics during arti cial femoral head replacement in elderly patients. [3] 2. Participants And Methods…”