Is There a Difference in Outcome of Total Joint Arthroplasty When Regional Versus General Anesthesia Are Used?

被引:0
作者
Marin-Pena, Oliver [1 ]
Poultsides, Lazaros A. [2 ]
Yildiz, Fatih [3 ]
Enayatollahi, Mohammad Ali [4 ]
Chillemi, Claudio [5 ]
Costantini, Julian [6 ]
Cui, Quanjun [7 ]
Memtsoudis, Stavros [8 ]
机构
[1] Hosp Univ Infanta Leonor, Dept Orthopaed, Hip Knee Unit, Madrid, Spain
[2] Aristotle Univ Thessaloniki, Gen Hosp Papageorgiou, Acad Orthopaed Dept, Med Sch, Thessaloniki, Greece
[3] Bezmialem Vakif Univ, Ortopedi Travmatol AD, Istanbul, Turkiye
[4] Dept Orthoped, Tehran, Iran
[5] Ist Chirurg Ortoped Traumatol ICOT, Dept Orthopaed Surg, Latina, Italy
[6] Hosp Italiano Buenos Aires, Serv Ortopedia & Traumatol Carlos E Ottolenghi, Knee Unit, Buenos Aires, Argentina
[7] Univ Virginia, Sch Med, Dept Orthoped Surg, Charlottesville, VA USA
[8] Dept Anesthesiol Crit Care & Pain Management, New York, NY USA
关键词
general anesthesia; regional anesthesia; TKA; THA; outcome;
D O I
10.1016/j.arth.2024.10.082
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Is there a difference in outcome of total joint arthroplasty when regional versus general anesthesia are used? Response/Recommendation: The literature supports the notion that various perioperative complications are reduced when neuraxial anesthesia is used, with less evidence that long term outcomes are affected. We therefore recommend that regional anesthesia should be utilized whenever feasible, and when no contraindications are present. Level of Evidence: Moderate. Expert vote: Agree 85 (62%); disagree 10 (6%); abstain 4 (32%).
引用
收藏
页码:s16 / s17
页数:2
相关论文
共 11 条
  • [1] Spinal Versus General Anesthesia in Total Knee Arthroplasty: Are There Differences in Complication and Readmission Rates?
    Heckmann, Nathanael D.
    De, Ayushmita
    Porter, Kimberly R.
    Stambough, Jeffrey B.
    [J]. JOURNAL OF ARTHROPLASTY, 2023, 38 (04) : 673 - 679.e1
  • [2] Regional versus general anesthesia in knee arthroplasty in patients with different classes of BMI: A matched analysis of the NSQIP database
    Issa, Mohamad
    Naja, Ahmad
    Ghanem, Anthony
    Shayya, Sami
    Nou, Paul
    Faddoul, Annibal
    Saghieh, Said
    [J]. JOURNAL OF ORTHOPAEDIC SCIENCE, 2024, 29 (01) : 188 - 193
  • [3] Comparing the Effects of General Versus Regional Anesthesia on Postoperative Mortality in Total and Partial Hip Arthroplasty
    Khan, Irfan A.
    Noman, Raihan
    Markatia, Nabeel
    Castro, Grettel
    de la Vega, Pura Rodriguez
    Ruiz-Pelaez, Juan
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (01)
  • [4] Comparison of general and regional anesthesia on short-term complications in patients undergoing total knee arthroplasty: A retrospective study using national health insurance service-national sample cohort
    Lee, SeungYoung
    Kim, Min Kyoung
    Ahn, EunJin
    Jung, YongHun
    [J]. MEDICINE, 2023, 102 (08) : E33032
  • [5] Impact of spinal Anaesthesia versus general Anaesthesia on the incidence of surgical site infections after knee or hip arthroplasty: A meta-analysis
    Li, Zhizhuo
    Xu, Xingquan
    Zhuang, Zaikai
    Lu, Jun
    Gao, Fuqiang
    Jiang, Qing
    [J]. INTERNATIONAL WOUND JOURNAL, 2024, 21 (01)
  • [6] Trends in total knee and hip arthroplasty recipients: a retrospective cohort study
    Liu, Jiabin
    Wilson, Lauren
    Poeran, Jashvant
    Fiasconaro, Megan
    Kim, David H.
    Yang, Elaine
    Memtsoudis, Stavros
    [J]. REGIONAL ANESTHESIA AND PAIN MEDICINE, 2019, 44 (09) : 854 - 859
  • [7] Does Regional Anesthesia Reduce Complications Following Total Hip and Knee Replacement Compared With General Anesthesia? An Analysis From the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man
    Matharu, Gulraj S.
    Garriga, Cesar
    Rangan, Amar
    Judge, Andrew
    [J]. JOURNAL OF ARTHROPLASTY, 2020, 35 (06) : 1521 - +
  • [8] Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analysis of current literature
    Memtsoudis, Stavros G.
    Cozowicz, Crispiana
    Bekeris, Janis
    Bekere, Dace
    Liu, Jiabin
    Soffin, Ellen M.
    Mariano, Edward R.
    Johnson, Rebecca L.
    Go, George
    Hargett, Mary J.
    Lee, Bradley H.
    Wendel, Pamela
    Brouillette, Mark
    Kim, Sang Jo
    Baaklini, Lila
    Wetmore, Douglas S.
    Hong, Genewoo
    Goto, Rie
    Jivanelli, Bridget
    Athanassoglou, Vassilis
    Argyra, Eriphili
    Barrington, Michael John
    Borgeat, Alain
    De Andres, Jose
    El-Boghdadly, Kariem
    Elkassabany, Nabil M.
    Gautier, Philippe
    Gerner, Peter
    Della Valle, Alejandro Gonzalez
    Goytizolo, Enrique
    Guo, Zhenggang
    Hogg, Rosemary
    Kehlet, Henrik
    Kessler, Paul
    Kopp, Sandra
    Lavand'homme, Patricia
    Macfarlane, Alan
    MacLean, Catherine
    Mantilla, Carlos
    McIsaac, Dan
    McLawhorn, Alexander
    Neal, Joseph M.
    Parks, Michael
    Parvizi, Javad
    Peng, Philip
    Pichler, Lukas
    Poeran, Jashvant
    Poultsides, Lazaros
    Schwenk, Eric S.
    Sites, Brian D.
    [J]. REGIONAL ANESTHESIA AND PAIN MEDICINE, 2021, 46 (11) : 971 - 985
  • [9] Anaesthetic care or patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis
    Memtsoudis, Stavros G.
    Cozowicz, Crispiana
    Bekeris, Janis
    Bekere, Dace
    Liu, Jiabin
    Soffin, Ellen M.
    Mariano, Edward R.
    Johnson, Rebecca L.
    Hargett, Mary J.
    Lee, Bradley H.
    Wendel, Pamela
    Brouillette, Mark
    Go, George
    Kim, Sang J.
    Baaklini, Lila
    Wetmore, Douglas
    Hong, Genewoo
    Goto, Rie
    Jivanelli, Bridget
    Argyra, Eriphyli
    Barrington, Michael J.
    Borgeat, Alain
    De Andres, Jose
    Elkassabany, Nabil M.
    Gautier, Philippe E.
    Gerner, Peter
    Della Valle, Alejandro Gonzalez
    Goytizolo, Enrique
    Kessler, Paul
    Kopp, Sandra L.
    Homme, Patricia Lavand '
    MacLean, Catherine H.
    Mantilla, Carlos B.
    MacIsaac, Daniel
    McLawhorn, Alexander
    Neal, Joseph M.
    Parks, Michael
    Parvizi, Javad
    Pichler, Lukas
    Poeran, Jashvant
    Poultsides, Lazaros A.
    Sites, Brian D.
    Stundner, Otto
    Sun, Eric C.
    Viscusi, Eugene R.
    Votta-Velis, Effrossyni G.
    Wu, Christopher L.
    Deau, Jacques T. Ya
    Sharrock, Nigel E.
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2019, 123 (03) : 269 - 287
  • [10] Regional versus general anesthesia for total hip and knee arthroplasty: a nationwide retrospective cohort study
    Oh, Tak Kyu
    Song, In-Ae
    [J]. REGIONAL ANESTHESIA AND PAIN MEDICINE, 2024,