Create Account | Sign In: Author or Forum

 
 
News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter    
 

 Headlines:

 

Category: Nursing | Orthopedics | Surgery | Anesthesiology & Pain | Journal

Back to Journal Articles

Neuraxial Anesthesia Beneficial for Bilateral Knee Arthroplasty

Last Updated: November 01, 2012.

 

Lower rate of blood transfusions compared with general anesthesia

Share |

Comments: (0)

Tell-a-Friend

 

  Related
 
For patients undergoing bilateral total knee arthroplasty, use of neuraxial anesthesia correlates with significantly lower rates of blood transfusions, according to research published in the November/December issue of Regional Anesthesia and Pain Medicine.

THURSDAY, Nov. 1 (HealthDay News) -- For patients undergoing bilateral total knee arthroplasty (BTKA), use of neuraxial anesthesia correlates with significantly lower rates of blood transfusions, according to research published in the November/December issue of Regional Anesthesia and Pain Medicine.

Ottokar Stundner, M.D., from the Hospital for Special Surgery in New York City, and colleagues examined the influence of type of anesthesia on perioperative outcomes after BTKA using data from a national database including 15,687 procedures. Of these, 80.1 percent were performed under general anesthesia, 6.8 percent under neuraxial anesthesia, and 13.1 percent under combined general and neuraxial anesthesia.

On average, patients undergoing neuraxial anesthesia were younger, with no difference in the overall comorbidity burden between the groups. The researchers found that blood transfusions were required significantly less frequently with neuraxial anesthesia, compared with the other groups. There were lower rates of in-hospital mortality, 30-day mortality, and complications in the neuraxial group, but these differences did not reach statistical significance. Compared with general anesthesia, neuraxial anesthesia alone and in combination with general anesthesia correlated respectively with a 16.0 and 6.0 percent reduction in major complications after adjustment, but the only significant association was reduced odds for the requirement of blood transfusions (neuraxial versus general, odds ratio, 0.52; neuraxial combined with general versus general, odds ratio, 0.77).

"Our data support the promotion of the use of neuraxial anesthesia for the management of BTKA patients, but also point out the demand for further research to quantify the magnitude of its beneficial effects," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.


Previous: Antidepressants Linked to Pregnancy Risks in Infertility Tx Next: Differential miRNA Expression IDs Urothelial Cancer Grade

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion:

Name:

Email:

Location:

URL:

Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Useful Sites
MediLexicon
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.