Effects of anesthetic technique on blood loss and complications after simultaneous bilateral total knee arthroplasty

Archives of Orthopaedic and Trauma Surgery
Meng ZhuSeng Jin Yeo

Abstract

Anesthetic technique affects perioperative outcomes, but less was known in simultaneous bilateral total knee arthroplasty (BTKA). A single center, retrospective analysis was carried out to prove the hypothesis that utilization of regional anesthesia would result in favorable perioperative outcomes. Medical records of patients admitted for simultaneous BTKA between 2004 and 2013 were analyzed. Two groups, the general anesthesia (GA) and regional anesthesia (RA) group, were identified. Patient preoperative characteristics were compared. Perioperative outcomes measured included blood loss, transfusion requirement, length of hospitalization, operating time, and 30-day perioperative complications. A total of 513 patients were identified, 54.6% were performed under GA, and 45.4% under RA. Patient characteristics were similar between the two groups, except that patients operated under GA were younger than those under RA. RA was associated with significantly less perioperative blood loss (981 vs. 1075 mL, p = 0.017) and 30-day complications (6.4 vs. 13.2%, p = 0.016). Systemic and organ specific infections were particularly lower in the RA group (0.4 vs. 3.9%, p = 0.009). Transfusion requirement, length of hospitalization, and operatin...Continue Reading

References

Feb 28, 2002·The Journal of Bone and Joint Surgery. American Volume·Jose A SalidoCristóbal Martínez
Feb 25, 2005·Anesthesia and Analgesia·Cliff K-S OngBrian J Jenkins
Oct 22, 2005·Clinical Orthopaedics and Related Research·Gwo-Chin LeeW Norman Scott
Jun 5, 2007·The Journal of Bone and Joint Surgery. American Volume·Camilo RestrepoThomas A Einhorn
Nov 13, 2008·Clinical Orthopaedics and Related Research·Stavros G MemtsoudisAlejandro González Della Valle
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Jul 2, 2009·The Journal of Bone and Joint Surgery. British Volume·S HuZ-D Cai
Jul 25, 2009·British Journal of Anaesthesia·A J R MacfarlaneR Brull
May 31, 2011·The Journal of Knee Surgery·Javad ParviziRichard H Rothman
Jan 4, 2013·The Journal of Knee Surgery·Ettore VulcanoAlejandro Gonzalez Della Valle
Apr 6, 2013·Journal of Clinical Anesthesia·Usha Gurunathan
Jan 5, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Deniz CankayaA Yalcin Tabak
Feb 14, 2014·Archives of Orthopaedic and Trauma Surgery·Jerry Yongqiang ChenSeng Jin Yeo
Aug 19, 2014·Archives of Orthopaedic and Trauma Surgery·Shixiong YiWei Huang
Sep 1, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jerry Yongqiang ChenSeng Jin Yeo

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Citations

Mar 13, 2016·The Journal of Arthroplasty·Rodney A GabrielRichard D Urman
Dec 15, 2015·British Journal of Anaesthesia·P M Hopkins
Mar 18, 2016·Pain Management·Patrick B Y WongColin J L McCartney
May 30, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jared Ze Yang YehSeng Jin Yeo
Dec 1, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Matthew R PatrickAndré P Boezaart
Dec 31, 2015·Journal of Orthopaedic Surgery·Meng ZhuSeng Jin Yeo
Jul 24, 2018·Regional Anesthesia and Pain Medicine·Obaid MalikRichard D Urman
Jul 10, 2018·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Vasileios SoranoglouThomas P Sculco

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