General vs Spinal Anesthesia for Total Joint Arthroplasty: A Single-Institution Observational Review

2020 ◽  
Vol 35 (4) ◽  
pp. 955-959 ◽  
Author(s):  
Taylor M. Paziuk ◽  
Andrew J. Luzzi ◽  
Andrew N. Fleischman ◽  
Karan Goswami ◽  
Eric S. Schwenk ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Single Institution

Does Intrathecal Morphine in Spinal Anesthesia Have a Role in Modern Multimodal Analgesia for Primary Total Joint Arthroplasty?

2018 ◽  
Vol 33 (6) ◽  
pp. 1693-1698 ◽  
Author(s):  
Jonathan W. Cheah ◽  
David C. Sing ◽  
Erik N. Hansen ◽  
Pedram Aleshi ◽  
Thomas P. Vail
Keyword(s):  
Spinal Anesthesia ◽  
Total Joint Arthroplasty ◽  
Intrathecal Morphine ◽  
Multimodal Analgesia ◽  
Joint Arthroplasty

Spinal anesthesia in a designated block bay for total joint arthroplasty: improving operating room efficiency

2020 ◽  
Vol 45 (12) ◽  
pp. 975-978
Author(s):  
Ryland Kagan ◽  
Stephanie Zhao ◽  
Andrew Stone ◽  
Alicia J Johnson ◽  
Thomas Huff ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Operating Room ◽  
Total Joint Arthroplasty ◽  
Group Versus ◽  
Joint Arthroplasty ◽  
Start Time ◽  
Serious Adverse Events ◽  
Mixed Effect ◽  
Exact Test ◽  
First Case

BackgroundCreating highly efficient operating room (OR) protocols for total joint arthroplasty (TJA) is a challenging and multifactorial process. We evaluated whether spinal anesthesia in a designated block bay (BBSA) would reduce time to incision, improve first case start time and decrease conversion to general anesthesia (GA).MethodsRetrospective cohort study on the first 86 TJA cases with BBSA from April to December 2018, compared with 344 TJA cases with spinal anesthesia performed in the OR (ORSA) during the same period. All TJA cases were included if the anesthetic plan was for spinal anesthesia. Patients were excluded if circumstances delayed start time or time to incision (advanced vascular access, pacemaker interrogation, surgeon availability). Data were extracted and analyzed via a linear mixed effects model to compare time to incision, via a Wilcoxon rank-sum test to compare first case start time, and via a Fisher’s exact test to compare conversion to GA between the groups.ResultsIn the mixed effect model, the BBSA group time to incision was 5.37 min less than the ORSA group (p=0.018). The BBSA group had improved median first case start time (30.0 min) versus the ORSA group (40.5 min, p<0.0001). There was lower conversion to GA 2/86 (2.33%) in the BBSA group versus 36/344 (10.47%) in the ORSA group (p=0.018). No serious adverse events were noted in either group.ConclusionsBBSA had limited impact on time to incision for TJA, with a small decrease for single OR days and no improvement on OR days with two rooms. BBSA was associated with improved first case start time and decreased rate of conversion to GA. Further research is needed to identify how BBSA affects the efficiency of TJA.

scholarly journals Letter to the Editor on “Correlation of the Caprini Score and Venous Thromboembolism Incidence Following Primary Total Joint Arthroplasty—Results of a Single-Institution Protocol”

2018 ◽  
Vol 33 (8) ◽  
pp. 2697-2698
Author(s):  
Luis A. Diaz Quintero ◽  
Harry E. Fuentes ◽  
Juan P. Salazar Adum ◽  
Alfonso J. Tafur ◽  
James C. Kudrna ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Single Institution ◽  
Letter To The Editor

scholarly journals Evaluation of the use of spinal anesthesia administered prior to proceeding to the operating room in patients undergoing total joint arthroplasty

2021 ◽  
Vol 22 ◽  
pp. 100154
Author(s):  
Matthew L Ritz ◽  
David M Rosenfeld ◽  
Mark Spangehl ◽  
Lopa Misra ◽  
Narjeet Khurmi ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Operating Room ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty

scholarly journals Response to the Letter to the Editor on “Correlation of the Caprini Score and Venous Thromboembolism Incidence Following Primary Total Joint Arthroplasty—Results of a Single-Institution Protocol”

2018 ◽  
Vol 33 (8) ◽  
pp. 2698-2699 ◽  
Author(s):  
Dexter K. Bateman ◽  
Robert W. Dow ◽  
Andrzej Brzezinski ◽  
Howard Y. Bar-Eli ◽  
Stephen T. Kayiaros
Keyword(s):  
Venous Thromboembolism ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Single Institution ◽  
Letter To The Editor

Correlation of the Caprini Score and Venous Thromboembolism Incidence Following Primary Total Joint Arthroplasty—Results of a Single-Institution Protocol

2017 ◽  
Vol 32 (12) ◽  
pp. 3735-3741 ◽  
Author(s):  
Dexter K. Bateman ◽  
Robert W. Dow ◽  
Andrzej Brzezinski ◽  
Howard Y. Bar-Eli ◽  
Stephen T. Kayiaros
Keyword(s):  
Venous Thromboembolism ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Single Institution

scholarly journals Lower Dosing of Bupivacaine Spinal Anesthesia Is Not Associated With Improved Perioperative Outcomes After Total Joint Arthroplasty

2021 ◽  
Vol 11 ◽  
pp. 6-9
Author(s):  
Carl L. Herndon ◽  
Matthew M. Levitsky ◽  
Chimere Ezuma ◽  
Nana O. Sarpong ◽  
Roshan P. Shah ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Perioperative Outcomes

Cannabinoid and Opioid Use Among Total Joint Arthroplasty Patients: A 6-Year, Single-Institution Study

Orthopedics ◽  
2020 ◽  
Author(s):  
Sahitya K. Denduluri ◽  
Steven T. Woolson ◽  
Pier F. Indelli ◽  
Edward R. Mariano ◽  
Alex H. S. Harris ◽  
...  
Keyword(s):  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Opioid Use ◽  
Single Institution

scholarly journals An ultrasound-assisted approach facilitates spinal anesthesia for total joint arthroplasty

2009 ◽  
Vol 56 (9) ◽  
pp. 643-650 ◽  
Author(s):  
Ki Jinn Chin ◽  
Anahi Perlas ◽  
Mandeep Singh ◽  
Cristian Arzola ◽  
Arun Prasad ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Ultrasound Assisted

Cancer after Total Joint Arthroplasty: A Meta-analysis

2007 ◽  
Vol 2007 ◽  
pp. 14-15
Author(s):  
B.F. Morrey
Keyword(s):  
Total Joint Arthroplasty ◽  
Meta Analysis ◽  
Joint Arthroplasty
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