“…Whether these benefits are observed in outpatient total joint arthroplasty is not known. In this multicenter retrospective cohort study of 11 523 patients in the Kaiser Permanente system in California by Yap et al ,1 no difference was found in the rate of 30-day major complications, which included mortality, myocardial infarction, deep vein thrombosis, pulmonary embolism, stroke, and acute renal failure, for neuraxial versus general anesthesia groups (1.8% vs 2.3%, adjusted OR=0.85, 95% CI 0.56 to 1.27, p=0.39). While patients who had neuraxial anesthesia reported less pain and nausea and vomiting after surgery, patients who had general anesthesia had shorter recovery room stays.…”