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June 1, 1982Acta Anaesthesiologica Scandinavica

Anesthetic Techniques and Surgical Blood Loss in Total Hip Arthroplasty

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Why the study?

Does sodium nitroprusside induced hypotensive anesthesia reduce intraoperative blood loss compared to halothane, NLA, or epidural block in patients undergoing total hip arthroplasty?

Population

157 patients with no previous history of hip surgery undergoing total hip arthroplasty

Comparison

Sodium nitroprusside induced hypotensive… vs Halothane, NLA, or epidural block

Design

Cohort

Authors

BRB. RosbergLund UniversityHFHans FredinUppsala University HospitalCGC. GustafsonUniversity of Minnesota

Discussion

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Implication

SNP hypotension may aid blood conservation in hip arthroplasty; leaves open confirmation versus alternatives in RCTs.

Structured PICO

Does sodium nitroprusside induced hypotensive anesthesia reduce intraoperative blood loss compared to halothane, NLA, or epidural block in patients undergoing total hip arthroplasty?

P
Population
157 patients with no previous history of hip surgery undergoing total hip arthroplasty
I
Intervention
Sodium nitroprusside induced hypotensive anesthesia
C
Comparator
Halothane, NLA (neuroleptanalgesia), or epidural block
O
Outcome
Intraoperative blood losssurrogate

Controlled hypotension with sodium nitroprusside or the use of epidural block reduces surgical bleeding during total hip arthroplasty compared to general anesthesia.

Cite This Study

Rosberg et al. (1982) studied this question.

synapsesocial.com/papers/6a8904ba3aa2d8278f760401https://doi.org/10.1111/j.1399-6576.1982.tb01751.x
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Also Consider

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

  1. 1Relation of Anesthesia to Total Hip Replacement and Control of Operative Blood Loss1975 · 29 citations
  2. 2The use of spinal anesthesia for total hip-replacement arthroplasty1975 · 80 citations
  3. 3Pulmonary Microembolism During Intramedullary Orthopaedic Trauma1974 · 63 citations
  4. 4Principles and Practice of Spinal Anesthesia1971 · 20 citations
  5. 5The Hemodynamic Effects of Changes in Blood Volume during Intermittent Positive-pressure Ventilation1969 · 82 citations