Journal List > J Korean Orthop Assoc > v.27(1) > 1114476

Han, Min, Shin, and Shim: The Hypobaric Spinal anesthesia for Total Hip-Replacement Arthroplasty

Abstract

Transfusions are generally required during or after total hip replacement arthroplasty and efforts were tried to reduce blood loss, shorten the operative time and lower the risk inherent to transfusions. Both regional anesthesia such as epidural and spinal anesthesia and general hypotensive anesthesia may reduce blood loss during total hip replacement. In this prospective clinical study the purpose was to compare the effects of hypobaric spinal anesthesia and general anesthesia. Authors have analysed 62 total hip replacement arthroplasties which were operated with the hypobaric spinal anesthesia or general endotracheal intubation anesthesia by one surgeon. Ther rsults were as follows:1. The volume of intraoperative blood loss and transfusion were reduced by hypobaric spinal anesthesia. 2. Operative time was shortened in hypobaric spinal anesthesia. 3. There was no difference in postoperative blood loss and complication. 4. The hypobaric spinal anesthesia was to be preferred over general endotracheal intubation anesthesia.

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