Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 2001Anesthesia & Analgesia

The Clinical Relevance of Embolic Events Detected by Transesophageal Echocardiography During Cemented Total Hip Arthroplasty: A Randomized Clinical Trial

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does a modified cementing technique reduce embolic events detected by TEE and pulmonary shunting in patients undergoing cemented total hip arthroplasty?

Population

120 patients undergoing cemented total hip arthroplasty

Comparison

Modified cementing technique vs Conventional cementing technique

Design

RCT, randomized into two groups

Follow-up

perioperative period

Authors

MKMatthias J. KoesslerUniversity of AucklandRFRenato FabianiUniversity of AucklandHHH. HamerUniversity of Auckland

Discussion

Loading...

Member takes

Implication

Supports modified cementing technique in cemented THA; confirms benefit in RCT and may change practice.

Structured PICO

Does a modified cementing technique reduce embolic events detected by TEE and pulmonary shunting in patients undergoing cemented total hip arthroplasty?

P
Population
120 patients undergoing cemented total hip arthroplasty
I
Intervention
Modified cementing technique (vacuum drainage placed in the proximal femur to reduce the increase of intramedullary pressure during insertion of the prosthesis)
C
Comparator
Conventional cementing technique
O
Outcome
Embolic events observed using transesophageal echocardiography (TEE) and changes in cardiopulmonary function (intraoperative shunt values)surrogate

A modified cementing technique with vacuum drainage significantly reduces the incidence of TEE-detected embolic events and pulmonary shunting during cemented total hip arthroplasty.

Cite This Study

Koessler et al. (2001) studied this question.

synapsesocial.com/papers/6a7a7f86bdf697b3de02a850https://doi.org/10.1097/00000539-200101000-00010

Topics

Pulmonary embolism
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Right Ventricular Function During Revision Total Hip Arthroplasty1996 · 76 citations
  2. 2Arterial oxygenation and mean arterial blood pressure in patients undergoing total hip replacement: cemented versus uncemented components1994 · 23 citations
  3. 3FAT EMBOLISM: AN AID TO DIAGNOSIS1970 · 393 citations
  4. 4Echocardiography of transatrial embolism during cemented and uncemented hemiarthroplasty of the hip1994 · 200 citations