The influence of anesthetic technique on the blood circulation during and after hip arthroplasty

2018 ◽  
Vol 2018 (2) ◽  
pp. 51-59
Author(s):  
V. I. Kolomachenko ◽  
Keyword(s):  
Hip Arthroplasty ◽  
Blood Circulation ◽  
Anesthetic Technique

Chinese Herbal Medicines for Promoting Blood Circulation and Removing Blood Stasis in Preventing Deep Venous Thrombosis after Total Hip Arthroplasty: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 23 ◽  
Author(s):  
Hetao Huang ◽  
Jianke Pan ◽  
Yanhong Han ◽  
Lingfeng Zeng ◽  
Guihong Liang ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Western Medicine ◽  
Blood Circulation ◽  
Meta Analysis ◽  
Blood Stasis ◽  
Herbal Medicines ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Chinese Herbal

Aim and Objective: To evaluate the efficacy and safety of Chinese herbal medicines for promoting blood circulation and removing blood stasis (PBCRBSM) in preventing deep venous thrombosis (DVT) after total hip arthroplasty (THA). Materials and Methods: The Databases were searched for studies comparing the preventive abilities of PBCRBSM and Western medicine, such as low molecular weight heparin (LMWH), rivaroxaban, and aspirin, as well as for randomized controlled trials on DVT after THA. Data were analyzed using RevMan 5.3 software. Results: A total of 3254 randomized controlled trials were included, including 1630 cases in the experimental group and 1624 cases in the control group. Meta-analysis showed that compared with Western medicine, PBCRBSM reduced the incidence of DVT (OR=0.38, 95% CI [0.30, 0.48], P < 0.001); prolonged activated partial thromboplastin time (APTT) (SMD=0.44, 95% CI [0.35, 0.53], P < 0.001); reduced D-dimer (SMD=-0.75, 95% CI [-0.84，-0.65], P < 0.001), FIB (SMD=-0.61, 95% CI [-0.72, -0.50], P < 0.001), blood viscosity (P<0.01), circumference difference in lower extremities (P<0.01), venous blood flow velocity (SMD=0.97, 95% CI [0.77, 1.16], P < 0.001), and drainage volume (SMD=-1.53, 95% CI [-1.71, -1.35], P < 0.001); and reduced adverse reactions (OR = 0.32, 95% CI [0.19, 0.56], P < 0.001). There was no significant difference in prolonging prothrombin time (PT) between traditional Chinese medicine and Western medicine (SMD = 0.07, 95% CI [-0.0.01). 3, 0.16], P > 0.05. Conclusion: PBCRBSM is an effective method for preventing DVT after THA and has fewer adverse effects.

scholarly journals Comparative perioperative outcomes associated with anesthetic technique for total hip arthroplasty: a retrospective cohort study

2019 ◽  
Author(s):  
Qing Fang ◽  
Yan-Lin Wang ◽  
Zong-Ze Zhang ◽  
Hong-Yu Wang ◽  
Huan Luo ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Spinal Anesthesia ◽  
Hip Arthroplasty ◽  
Adjusted Odds Ratio ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Perioperative Outcomes ◽  
Anesthetic Technique ◽  
Total Hip ◽  
Intraoperative Hypotension

Abstract Background The influence of anesthetic technique on perioperative outcomes for total hip arthroplasty remains poorly elucidated. We studied a sample of total hip arthroplasty recipients, hypothesizing that spinal anesthesia has a superior impact on perioperative outcomes. Methods We conducted a retrospective cohort study of patients undergoing total hip arthroplasty between December 1, 2012 and October 31, 2018 in Zhongnan Hospital of Wuhan University. The primary outcome was cardiorespiratory complications. Secondary outcomes were intraoperative hypotension, packed red blood cells (pRBCs) transfusion, prolonged hospital length of stay, intensive care unit (ICU) use, life-threatening event, and mortality. Multivariable regression analyses were used to identify the impact of anesthetic technique on perioperative outcomes. Results Among the 1,233 patients, 561 had general anesthesia, and 672 had spinal anesthesia. Patients were averagely younger in general group than in spinal anesthesia group, (69.0 and 72.1 years, respectively; P < 0.001), with insignificant difference in comorbidity burden. When spinal anesthesia was used, the hospital length of stay, ICU times, and volume of pRBCs transfusion were significant decreased (P < 0.05). Life-threatening event and in-hospital mortality occurred frequently in general anesthesia, but with insignificant difference. After adjusting for covariates, spinal anesthesia was associated with 54.3% reduction in cardiorespiratory complications (adjusted odds ratio [OR]: 0.457, 95% confidence interval [CI]: 0.320–0.652; P < 0.001). Spinal anesthesia was favorably associated with decreased odds for intraoperative hypotension (OR: 0.653, 95% CI: 0.494–0.863; P = 0.003) and ICU use (OR: 0.371, 95% CI: 0.268–0.514; P < 0.001). The use of spinal anesthesia was not found to influence the risk of pRBCs transfusion (adjusted odds ratio [OR]: 0.823, 95% CI: 0.631–1.073; P = 0.149) and prolonged hospital length of stay (adjusted odds ratio [OR]: 0.886, 95% CI: 0.684–1.148; P = 0.360). Conclusions Compared with general anesthesia, spinal anesthesia for total hip arthroplasty was associated with decreased rates of cardiorespiratory complications, intraoperative hypotension, and ICU use.

scholarly journals Pericapsular Nerve Group Block (PENG Block) and Spinal Anesthesia as Multimodal Analgetic in Patient with Bipolar Hip Arthroplasty: A Case Report

2022 ◽  
Vol 2 (2) ◽  
pp. 205-211
Author(s):  
Aidyl Fitrisyah ◽  
Stevanus Eliansyah Handrawan ◽  
Afrida Yolanda Putri
Keyword(s):  
Spinal Anesthesia ◽  
Hip Arthroplasty ◽  
Rating Scale ◽  
Muscle Relaxation ◽  
Postoperative Pain Management ◽  
Numeric Rating Scale ◽  
Anesthetic Technique ◽  
Anesthetic Drugs ◽  
The Right ◽  
Numeric Rating

Introduction. Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. Bipolar hip arthroplasty is one of the most common major orthopaedic procedures to improve patient’s functional status and quality of life. Spinal anesthesia is a regional anesthetic technique that is performed by injecting local anesthetic drugs into the subarachnoid space to obtain dermatome-level analgesia and skeletal muscle relaxation. Pain after hip replacement originates mainly from the anterior pelvic capsule. The main target for pelvic analgesia is the anterior capsule which is the most richly innervated part of the joint. PENG block is used to block the articular branches to the pelvis. The patient was assessed with an NRS (numeric rating scale) instrument pre and post operative. Case presentation. A-74 year old woman admitted with complaints of pain in the right hip and diagnosed with a closed fracture of the right intertrochanter and planned for bipolar hip arthroplasty with PENG block and spinal anesthesia. Preoperatively the patient was assessed with an NRS (numeric rating scale) instrument with a score of 6. After the procedure, we reevaluated the pain score using NRS was 2 post operative. Conclusion. Patients receiving a PENG block and spinal anesthesia for intraoperative and postoperative analgesia during hip fracture surgery. Prior to spinal anesthesia, PENG block can be performed as a multimodal analgesia in the patient, PENG block expected to facilitate a sitting position during spinal anesthesia and for postoperative pain management

Cerebral Blood Circulation in Premature Infants by Means of Mathematical Modeling

2015 ◽  
Vol 46 (S 01) ◽  
Author(s):  
R. Lampe ◽  
N. Botkin ◽  
V. Turova ◽  
T. Blumenstein ◽  
A. Alves-Pinto
Keyword(s):  
Mathematical Modeling ◽  
Premature Infants ◽  
Blood Circulation ◽  
Cerebral Blood Circulation

Bestimmung des zerebralen Blutflusses mittels des 81 Rb/81 mKr-Generatorsystems

1990 ◽  
Vol 29 (01) ◽  
pp. 7-12 ◽  
Author(s):  
J. Bialy ◽  
F.-J. Hans ◽  
E. Oberhausen ◽  
W.J. Peters ◽  
M. Schmitt ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Blood Circulation ◽  
Semiconductor Device ◽  
Animal Experiments ◽  
Initial Value ◽  
Brain Arteries ◽  
Sufficient Concentration ◽  
Static Quantity

A method is being developed which not only measures cerebral blood flow as a static quantity but also its changes with time. For that purpose a semiconductor device ascertains the proportion of intracerebral81 Rb and 81mKr activities. By opening the haemato-encephalic barrier in animal experiments a sufficient concentration of intracerebral81 Rb could be attained and the modified blood circulation after step-wise ligature of all brain arteries brought into relation to the corresponding Rb/Kr quotient. Over the range from undisturbed to completely interrupted cerebral blood flow this quotient varied up to 25% of its initial value.

MR Imaging with Metal Artifact Reduction to Differentiate between Patients with and without Infected Total Hip Arthroplasty

2018 ◽  
Author(s):  
Benedikt Schwaiger ◽  
Alexandra Gersing ◽  
Daniela Muenzel ◽  
Julia Dangelmaier ◽  
Peter Prodinger ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Mr Imaging ◽  
Hip Arthroplasty ◽  
Artifact Reduction ◽  
Metal Artifact ◽  
Metal Artifact Reduction ◽  
Total Hip

Plasma Prekallikrein Activity in Patients with Total Hip Arthroplasty

1987 ◽  
Vol 58 (04) ◽  
pp. 1040-1042
Author(s):  
J J M L Hoffmann ◽  
J H J P M Kortmann
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Prosthesis ◽  
Contact System ◽  
Factor Xii ◽  
Total Hip ◽  
Activity Factor ◽  
Patient Groups ◽  
Kallikrein Activity

SummaryThe behaviour of the contact system was studied in 40 patients with total hip arthroplasty, by measuring plasma prekallikrein, spontaneous kallikrein activity and factor XII. In the literature it had been shown that patients with complications from this operation had decreased prekallikrein and increased kallikrein activity (M. Nakahara. Acta orthop scand 1982; 53: 591-6). In the present study, comprising patients with and without pain and proven loosening of the hip prosthesis, these findings could only partially be confirmed. Patients with a loosened prosthesis had significantly lower prekallikrein (mean 0.78 ± 0.28 U/ml; p <0.01) than patients without problems, but no detectable kallikrein activity in plasma. Patients with pain but no loosening had normal prekallikrein (1.04 ±0 0.26 U/ml) and also no demonstrable kallikrein activity. Factor XII was normal in all patient groups. It is concluded that decreased prekallikrein is limited to patients with a loosened hip prosthesis, with or without pain.

Sign in / Sign up

Export Citation Format

Share Document