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February 1, 1997Orthopedics

Comparison of General and Epidural Anesthesia in Patients Undergoing Primary Unilateral THR

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Why the study?

Does epidural anesthesia compared to general anesthesia affect clinical outcomes and complications in patients undergoing primary unilateral total hip replacement?

Population

195 consecutive patients undergoing primary unilateral total hip arthroplasties between January 1988 and…

Comparison

Epidural anesthesia only or general endotracheal… vs General endotracheal anesthesia alone (n=108)

Design

Cohort

Follow-up

Postoperative hospitalization period

Authors

MBMark R. BrinkerTexas Medical CenterJRJeffrey D. ReubenUniversity of MinnesotaJMJ Randy Mull

Discussion

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Overview

Anesthesia choice may influence blood loss patterns in THA; leaves open optimal regimen for outcomes pending randomized trials.

Structured PICO

Does epidural anesthesia compared to general anesthesia affect clinical outcomes and complications in patients undergoing primary unilateral total hip replacement?

P
Population
195 consecutive patients undergoing primary unilateral total hip arthroplasties between January 1988 and December 1993
I
Intervention
Epidural anesthesia only (n=17) or general endotracheal anesthesia with epidural augmentation intraoperatively and postoperatively (n=70)
C
Comparator
General endotracheal anesthesia alone (n=108)
O
Outcome
Clinically relevant factors including intraoperative blood loss, postoperative Hemovac output, and complicationssafety

Epidural anesthesia appears to be a safe modality for primary unilateral total hip replacement, associated with lower intraoperative blood loss compared to general anesthesia alone.

Cite This Study

Brinker et al. (1997) studied this question.

synapsesocial.com/papers/6a827d2fca5f0d7ba374ba07https://doi.org/10.3928/0147-7447-19970201-06
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thromboembolism After Total Hip Replacement1983 · 303 citations
  2. 2The use of spinal anesthesia for total hip-replacement arthroplasty1975 · 80 citations
  3. 3Coagulation and fibrinolytic parameters in patients undergoing total hip replacement: influence of the anaesthesia technique1989 · 58 citations
  4. 4Deep vein thrombosis after total hip replacement. A comparison between spinal and general anaesthesia1989 · 126 citations
  5. 5Factors Influencing Deep Vein Thrombosis Following Total Hip Arthroplasty Under Epidural Anesthesia1993 · 62 citations