Con: General Anesthesia is Not Superior to Regional Anesthesia for Patients with Pulmonary Hypertension Undergoing Non-Cardiac Surgery

2021 ◽  
Author(s):  
James C. Krakowski ◽  
Harendra Arora
Keyword(s):  
Pulmonary Hypertension ◽  
Cardiac Surgery ◽  
General Anesthesia ◽  
Regional Anesthesia

The Use of Regional Anesthesia in Combination With General Anesthesia for Cardiac Surgery in Children

2001 ◽  
Vol 5 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Gregory B. Hammer ◽  
Vinit Wellis ◽  
M. Gail Boltz ◽  
Shoichi Uezono ◽  
Mark D. Rodefeld ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
General Anesthesia ◽  
Regional Anesthesia

A Comparison of General Anesthesia and Regional Anesthesia as a Risk Factor for Deep Vein Thrombosis Following Hip Surgery: A Critical Review

1990 ◽  
Vol 64 (04) ◽  
pp. 497-500 ◽  
Author(s):  
Martin H Prins ◽  
Jack Hirsh
Keyword(s):  
Deep Vein Thrombosis ◽  
General Anesthesia ◽  
Regional Anesthesia ◽  
Lower Incidence ◽  
Hip Surgery ◽  
Level Of Evidence ◽  
Vein Thrombosis ◽  
Postoperative Thrombosis ◽  
High Level ◽  
Deep Vein

SummaryWe evaluated the evidence in support of the suggestion that the risk of deep vein thrombosis after hip surgery is lower with regional than with general anesthesia. A literature search was performed to retrieve all articles which reported on the incidence of postoperative thrombosis in both fractured and elective hip surgery. Articles were included if the method of anesthesia used was reported and if they used mandatory venography. Based upon the quality of study design the level of evidence provided by a study was graded.In patients who did not receive prophylaxis there were high level studies in elective and fractured hip surgery. All studies showed a statistically significantly lower incidence of postoperative deep vein thrombosis with regional anesthesia (relative risk reductions of 46-55%). There were no direct comparative studies in patients who received prophylaxis. However, between study comparisons did not show even a trend towards to lower incidence of postoperative thrombosis with regional anesthesia.

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