Peripheral Nerve Block as a Supplement to Light or Deep General Anesthesia in Elderly Patients Receiving Total Hip Arthroplasty

2017 ◽  
pp. 1
Author(s):  
Bin Mei ◽  
Hanning Zha ◽  
Xiaolong Lu ◽  
Xinqi Cheng ◽  
Shishou Cheng ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
Peripheral Nerve ◽  
General Anesthesia ◽  
Nerve Block ◽  
Hip Arthroplasty ◽  
Peripheral Nerve Block ◽  
Total Hip

scholarly journals Advantages and issues of concern regarding approaches to peripheral nerve block for total hip arthroplasty

2021 ◽  
Vol 9 (36) ◽  
pp. 11504-11508
Author(s):  
Marco Crisci ◽  
Arturo Cuomo ◽  
Cira Antonietta Forte ◽  
Sabrina Bimonte ◽  
Gennaro Esposito ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Hip Arthroplasty ◽  
Peripheral Nerve Block ◽  
Total Hip

scholarly journals Suprainguinal Fascia Iliaca Block Accelerates General Anesthesia Recovery and Relieves Postoperative Pain in Elderly Patients After Total Hip Arthroplasty: A Retrospective Study

2020 ◽  
Author(s):  
Yali Wang ◽  
Yunqing Liu ◽  
Hua Ni ◽  
Xinlei Zhang ◽  
Li Ding ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
General Anesthesia ◽  
Hip Arthroplasty ◽  
Tracheal Extubation ◽  
Block Group ◽  
Total Hip ◽  
Fentanyl Consumption ◽  
Fascia Iliaca Block

Abstract Background: Peripheral regional block combined with general anesthesia might be a preferable anesthetic regimen for elderly patients receiving total hip arthroplasty. To investigate whether suprainguinal fascia iliaca block accelerates recovery after general anesthesia and relieves early postoperative pain in elderly patients undergoing total hip arthroplasty. Methods: Patients who underwent total hip arthroplasty under general anesthesia in 2015 or 2019 at the Second Affiliated Hospital of Xuzhou Medical University were retrospectively analyzed. The patients were grouped based on whether preoperative suprainguinal fascia iliaca block was performed. The time to tracheal extubation and spent in the post anesthesia care unit (PACU), intraoperative remifentanil dosage, fentanyl consumption in PACU, postoperative cumulative fentanyl consumption within 48 h after operation, visual analog scale (VAS) at rest and during movement on the first and second days after surgery, and adverse reactions were compared.Results: Thirty-one patients were included in the study (block group:16, no-block group: 15). The VAS at rest and during movement on the first and second days were significantly lower in the block group than in the no-block group (all P<0.05). The intraoperative remifentanil dosage, fentanyl consumption given in PACU, and postoperative cumulative fentanyl consumption in 48 h after operation were lower in the block group (all P<0.01). The time to tracheal extubation and the time spent in PACU in the block group were shorter (all P<0.01). Conclusion: Suprainguinal fascia iliaca block led to faster recovery after general anesthesia and early postoperative pain relief in elderly patients undergoing total hip arthroplasty.

Continuous Posterior Lumbar Plexus Nerve Block Versus Periarticular Injection with Ropivacaine or Liposomal Bupivacaine for Total Hip Arthroplasty

2017 ◽  
Vol 99 (21) ◽  
pp. 1836-1845 ◽  
Author(s):  
Rebecca L. Johnson ◽  
Adam W. Amundson ◽  
Matthew P. Abdel ◽  
Hans P. Sviggum ◽  
Tad M. Mabry ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Nerve Block ◽  
Hip Arthroplasty ◽  
Lumbar Plexus ◽  
Liposomal Bupivacaine ◽  
Total Hip ◽  
Periarticular Injection

Total Hip Arthroplasty

2019 ◽  
pp. 83-95
Author(s):  
Sydney E. Rose ◽  
Julio A. Gonzalez-Sotomayor
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
General Anesthesia ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Severe Arthritis ◽  
And Cartilage ◽  
Anesthesia Spinal

This chapter discusses the goals, procedure, and potential outcomes of total hip arthroplasty (THA). Patients may be candidates for a THA when they have severe arthritis of their hip(s) (degeneration of cartilage covering the ends of the bones creating the hip joint). Arthritic hip pain is often progressive and gets worse as the cartilage continues to deteriorate. Typically, at the time a patient seeks hip arthroplasty, his or her quality of life has become very compromised. In a total hip arthroplasty, damaged bone and cartilage of the hip joint are removed and replaced with prosthetic components. THA can be performed under neuraxial anesthesia (spinal or epidural) or general anesthesia or a combination of both.

scholarly journals Comparison of Combined Lumbosacral Plexus and T12 Paravertebral Nerve Blocks With General Anesthesia in Older Adults Undergoing Primary Total Hip Arthroplasty: A Retrospective, Propensity Score–Matched Cohort Study

2020 ◽  
Vol 11 ◽  
pp. 215145932097653
Author(s):  
Li Min ◽  
Chen Chen ◽  
Yuan Yan ◽  
Shen Jiang ◽  
Yang Linyi ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Propensity Score ◽  
General Anesthesia ◽  
Hip Arthroplasty ◽  
Perioperative Complications ◽  
Lumbosacral Plexus ◽  
Cardiac Events ◽  
Nerve Blocks ◽  
Total Hip ◽  
Hip Disease

Background: Total Hip Arthroplasty(THA) is a surgical treatment for hip disease. A large amount of evidence has been reported on comparing outcomes of neuraxial(spinal or epidural) anesthesia and general anesthesia. However, it is unclear whether nerve blocks(NB) as main anesthesia technique compared with general anesthesia(GA) for THA could reduce perioperative complications. We conducted a retrospective evaluation of NB and GA, using a propensity score-matched analysis(PSMA). Methods: A total of 902 patients older than 60 years old with hip disease undergoing primary THA received combined lumbosacral plexus and T12 paravertebral nerve blocks (n = 143) or GA (n = 759) at our institution from 2012 to 2018.Binary logistic regression was used for comparison of the primary outcomes(the incidence of delirium) and the secondary outcomes(the percentage of postoperative hemoglobin(>10g/dl), transfusion(>2 units), major cardiac events(MACE), postoperative pulmonary complications (PPC) and 30-day mortality) in the matched cohorts.Statistical analysis was performed using SPSS v 23.0. Results: Both cohorts were balanced in all included parameters after PSMA. The incidence of delirium was lower (OR 0.233,95% CI 0.064-0.845, p = 0.030) in NB group in matched cohorts. In the unmatched and matched cohorts, the percentage of Hb(>10g/dl) was higher in GA group but the incidence of transfusion(>2 units) was higher in NB group. No difference was found in the incidence of 30-day mortality in the unmatched and matched cohorts. In the unmatched cohorts, the incidence of PPC was higher and LOS was longer in NB cohort, but no difference was observed in the matched cohorts. Conclusion: In patients older than 60 years old receiving primary THA, NB could be associated with a lower incidence of delirium.

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