2021
DOI: 10.7759/cureus.12462
|View full text |Cite
|
Sign up to set email alerts
|

Comparing the Effects of General Versus Regional Anesthesia on Postoperative Mortality in Total and Partial Hip Arthroplasty

Abstract: Purpose Total hip arthroplasty (THA) and partial hip arthroplasty (PHA) are performed in patients with hip joint dysfunction such as osteoarthritis or hip fractures and are associated with complications including mortality. There is a lack of evidence in the literature regarding whether the type of anesthesia (regional vs. general) is associated with increased postoperative mortality in patients undergoing hip arthroplasty. The present study compares early postoperative mortality between general or … Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2
1

Citation Types

1
4
0

Year Published

2022
2022
2024
2024

Publication Types

Select...
3
1

Relationship

0
4

Authors

Journals

citations
Cited by 4 publications
(5 citation statements)
references
References 21 publications
1
4
0
Order By: Relevance
“…Our study further found that patients receiving only general anesthesia were more likely to have medical comorbidities. This finding is similar to a few studies which also show the use of general anesthesia in patients with more comorbidities [6,10,11]. On the other hand, other studies illustrate that regional anesthesia alone is more likely to be used in the patient population with more comorbidities, which would be consistent with the presumed benefits of regional anesthesia [3].…”
Section: Discussionsupporting
confidence: 88%
“…Our study further found that patients receiving only general anesthesia were more likely to have medical comorbidities. This finding is similar to a few studies which also show the use of general anesthesia in patients with more comorbidities [6,10,11]. On the other hand, other studies illustrate that regional anesthesia alone is more likely to be used in the patient population with more comorbidities, which would be consistent with the presumed benefits of regional anesthesia [3].…”
Section: Discussionsupporting
confidence: 88%
“…In the past, spinal anesthesia was commonly used, but its application was limited due to the blocking of the sympathetic nerve, the fluctuation of hemodynamics, and perioperative anticoagulation therapy ( 1 , 2 ). At present, general anesthesia, combined with nerve block anesthesia, has been widely used in clinical practice, especially in THA, and its advantages are many, such as providing effective relief for perioperative pain, controlling and reducing the dosage of opioids, and promoting the rapid recovery of patients ( 13 , 14 ). The iliac fascia is formed by the muscle fascia of the psoas major, iliacus, and pubis muscles, and the iliac fascia space is a potential gap in the anterior iliac fascia and the posterior iliopsoas and iliopsoas fascia ( 15 17 ).…”
Section: Discussionmentioning
confidence: 99%
“…General anesthesia can significantly affect the respiratory and circulatory systems, resulting in opioid-related adverse reactions. Severe nausea and vomiting will affect patients’ early eating habit and reduce their levels of satisfaction, and patients with general anesthesia are at a higher risk for POCD ( 13 ). Intraspinal anesthesia is also a commonly used anesthesia scheme for THA patients in clinical practice, but the elderly often encounter many problems such as spinal degeneration, ligament calcification, and difficulty in placing the puncture position, which, in turn, increases the difficulty of the puncture condition ( 14 ).…”
Section: Introductionmentioning
confidence: 99%
“…The overall early postoperative mortality in adult patients undergoing hip arthroplasty is low in the absence of risk factors such as severe cardiac hearth failure, chronic obstructive pulmonary disease (COPD), ascites, acute renal failure, and ASA score of 4 or higher. Some studies suggest that there is no association between the type of anesthesia received (general versus regional) and early postoperative mortality rates in patients undergoing hip arthroplasty, regardless of type (total versus partial) [84]. Similarly, other studies show no significant difference between the perioperative blood loss and the occurrence of deep vein thrombosis.…”
Section: General Anesthesia and Multimodal Strategiesmentioning
confidence: 99%
“…However, spinal anesthesia was more advantageous than general anesthesia in terms of the occurrence of nausea and length of stay [85]. In general, large multicenter study on hip and knee replacement are in favor of neuraxial techniques over general anesthesia, and this change in practice has been at the core of established Enhanced Recovery after Surgery (ERAS) guidelines [84,86]. Large epidemiological studies support the decision toward the choice of central neuraxial anesthesia over general anesthesia showing regional anesthesia being independently associated with better outcomes [87].…”
Section: General Anesthesia and Multimodal Strategiesmentioning
confidence: 99%