Key result
Epidural anesthesia was associated with less blood loss and a slighter hypotensive response to methylmethacrylate bone cement insertion during total hip replacement compared to general anesthesia.
Why the study?
Does epidural anesthesia reduce hypotensive responses and blood loss compared to general anesthesia in patients undergoing total hip replacement with bone cement?
Population
54 patients undergoing total hip replacement with methylmethacrylate bone cement.
Comparison
Epidural anesthesia vs General anesthesia (GOF or NLA)
Design
Cohort
Follow-up
Intraoperative
Authors
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May favor epidural anesthesia in cemented hip replacement to limit blood loss and hypotension; leaves open need for randomized trials before practice change.
Observational (n=54)
No
Does epidural anesthesia reduce hypotensive responses and blood loss compared to general anesthesia in patients undergoing total hip replacement with bone cement?
Epidural anesthesia may be preferable to general anesthesia for total hip replacement with bone cement due to reduced intraoperative blood loss and blunted hypotensive responses.
Sakanashi et al. (1980) conducted an observational in Total hip replacement (n=54). Epidural anesthesia vs. General anesthesia was evaluated on Hypotensive response to bone cement insertion. Epidural anesthesia was associated with less blood loss and a slighter hypotensive response to methylmethacrylate bone cement insertion during total hip replacement compared to general anesthesia.
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