Total Diz Artroplastisi Ameliyatlarında Uygulanan Anestezi Yöntemlerinin Retrospektif Olarak İncelenmesi

Abstract

In Turkey, there are few studies conducted on the retrospective evaluation of the perioperative and postoperative effects of anesthesia methods applied in patients undergoing total knee arthroplasty surgery. In this study, our aim is to test the hypothesis that regional anesthesia techniques applied in patients undergoing total knee replacement surgery provide better results than general anesthesia. Ankara Numune Training and Research Hospital Scientific Research Evaluation Commission approved this study. Medical archives and anesthesia records of 247 patients who underwent total knee arthroplasty surgery between January 01, 2012 and December 31, 2012 were retrospectively analyzed. Preoperative, intraoperative and postoperative records were kept. In terms of gender, age, smoking status, ASA level, surgery type, accompanying diseases, mean arterial blood pressure, blood donation status, complications, postoperative intensive care need, operation and discharge times, perioperative morbidity and mortality, it was found that there is no statistically significant difference between the groups studied (p> 0.05). There was a statistically significant difference between groups in terms of the amount of blood given, amount of fluid administered and heart rate (p <0.05). In our study, 247 patients who underwent total knee arthroplasty were analyzed retrospectively. We concluded that there was no significant difference in terms of perioperative morbidity and mortality between regional anesthesia applications and general anesthesia applications in patients with similar age groups and concomitant diseases. We think that more comprehensive meta-analyzes and studies are needed on this subject.