Unknown

Dataset Information

0

General vs Neuraxial Anesthesia in Direct Anterior Approach Total Hip Arthroplasty: Effect on Length of Stay and Early Pain Control.


ABSTRACT:

Background

Recent literature has suggested some benefits for neuraxial anesthesia (NA) as an alternative for general anesthesia (GA) for primary total hip arthroplasty patients. We examined the impact of NA vs GA on outcomes for patients undergoing direct anterior (DA) approach total hip arthroplasty (THA) in an institution with established rapid recovery protocols.

Methods

A retrospective review was conducted for 500 consecutive THA patients from a single institution. Univariate analysis and multivariate linear regression were used to compare outcomes for THA patients receiving NA and GA.

Results

There was a significant difference in length of stay with NA patients having a shorter length of stay (NA 32.7 hours vs GA 38.1 hours, P = .003). Patients receiving NA had significantly lower PACU morphine milligram equivalents (MME) (NA 10.2 MME vs GA 15.6 MME, P < .001) and reported a lower score on the PACU pain numeric rating scale (NA 2.1 vs GA 3.7, P < .001).

Conclusion

Neuraxial anesthesia is associated with decreased LOS, decreased PACU MME, and a lower PACU pain score for patients undergoing primary DA THA. These trends remained consistent when controlling for age, gender, BMI, and ASA.

SUBMITTER: Kelly ME 

PROVIDER: S-EPMC7536536 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

altmetric image

Publications

General vs Neuraxial Anesthesia in Direct Anterior Approach Total Hip Arthroplasty: Effect on Length of Stay and Early Pain Control.

Kelly McKayla E ME   Turcotte Justin J JJ   Aja Jacob M JM   MacDonald James H JH   King Paul J PJ  

The Journal of arthroplasty 20201006 3


<h4>Background</h4>Recent literature has suggested some benefits for neuraxial anesthesia (NA) as an alternative for general anesthesia (GA) for primary total hip arthroplasty patients. We examined the impact of NA vs GA on outcomes for patients undergoing direct anterior (DA) approach total hip arthroplasty (THA) in an institution with established rapid recovery protocols.<h4>Methods</h4>A retrospective review was conducted for 500 consecutive THA patients from a single institution. Univariate  ...[more]

Similar Datasets

| S-EPMC6494405 | biostudies-literature
| S-EPMC4357526 | biostudies-literature
| S-EPMC8076614 | biostudies-literature
| S-EPMC3800057 | biostudies-literature
| S-EPMC4071463 | biostudies-other
| S-EPMC5994639 | biostudies-literature
| S-EPMC4607279 | biostudies-literature
| S-EPMC3229993 | biostudies-literature
| S-EPMC4344128 | biostudies-literature
| S-EPMC5712024 | biostudies-literature