scholarly journals Causes and Treatment of Hypoxia during Total Hip Arthroplasty in Elderly Patients: A Case Report

2021 ◽  
Vol 18 (24) ◽  
pp. 12931
Author(s):  
Jae Young Ji ◽  
Jin Hun Chung ◽  
Nan Seol Kim ◽  
Yong Han Seo ◽  
Ho Soon Jung ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
Hip Arthroplasty ◽  
Muscle Tone ◽  
Spontaneous Respiration ◽  
Oxygen Saturation Level ◽  
Total Hip ◽  
Fraction Of Inspired Oxygen ◽  
Poor Outcomes ◽  
Inspired Oxygen

Intraoperative hypoxia occurs in approximately 6.8% of surgeries and requires appropriate management to avoid poor outcomes, such as increased mortality or extended hospitalization. Hypoxia can be caused by a variety of factors, including laryngospasm, inhalational anesthetics, and surgery for abdominal pathology or hip fractures. In particular, elderly patients are more vulnerable to hypoxia due to their existing lung diseases or respiratory muscle weakness. This study presents the cases of two elderly patients who developed hypoxia during total hip arthroplasty under general anesthesia. Positive end expiratory pressure, the recruitment maneuver, and increased fraction of inspired oxygen improved hypoxia only temporarily, and patients’ oxygen saturation level again dropped to 79–80%. We suspected that hypoxia was caused by atelectasis and, therefore, resumed spontaneous respiration. Thereafter, both the patients showed an improvement in hypoxia. Intraoperative hypoxia that is suspected to be caused by atelectasis can be improved by securing sufficient lung volume for respiration through increased muscle tone with spontaneous respiration.

scholarly journals Causes and Treatment of Hypoxia During Total Hip Arthroplasty in Elderly Patients: Case Report

2021 ◽  
Author(s):  
Jae Young Ji ◽  
Jin Hun Chung ◽  
Nan Seol Kim ◽  
Yong Han Seo ◽  
Ho Soon Jung ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
Hip Arthroplasty ◽  
Muscle Tone ◽  
Spontaneous Respiration ◽  
Common Symptom ◽  
Oxygen Saturation Level ◽  
Total Hip ◽  
Fraction Of Inspired Oxygen ◽  
Inspired Oxygen

There are several causes of hypoxia during and after surgery, and atelectasis is a common symptom that occurs during surgery. In particular, elderly patients are more vulnerable to hypoxia due to their existing lung diseases or respiratory muscle weakness. This study presents the cases of two elderly patients who developed hypoxia during total hip arthroplasty under general anesthesia. Positive end expiratory pressure, recruitment maneuver, and increased fraction of inspired oxygen improved hypoxia only temporarily, and patients’ oxygen saturation level again dropped to 79%–80%. We suspected that hypoxia was caused by atelectasis and, therefore, re-sumed spontaneous respiration. Thereafter, both the patients showed an improvement in hypoxia. Intraopera-tive hypoxia that is suspected to be caused by atelectasis can be improved by securing sufficient lung volume for respiration through increased muscle tone with spontaneous respiration

scholarly journals Total Hip Arthroplasty for the Paralytic and Non-paralytic Side in Patient with Residual Poliomyelitis

2016 ◽  
Vol 10 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Motoki Sonohata ◽  
Masaru Kitajima ◽  
Shunsuke Kawano ◽  
Masaaki Mawatari
Keyword(s):  
Muscle Strength ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Muscle Tone ◽  
Hip Osteoarthritis ◽  
Hip Pain ◽  
Total Hip ◽  
Early Results ◽  
History Of

Background: Total hip arthroplasty (THA) for poliomyelitis is a problematic procedure due to difficulty in positioning the cup of the prosthesis in the true acetabulum and the risk of dislocation after THA due to the low muscle tone. Methods: We herein present a case of bilateral hip pain with a history of poliomyelitis. Radiograph showed bilateral hip osteoarthritis caused by hip dysplasia due to residual poliomyelitis in right hip joint or developing dysplasia of the hip joint in left hip joint. THA was performed to bilateral hip joints. Results: Six years after bilateral THA, bilateral hip pain significantly improved. Additionally, the muscle strength on the paralyzed right side partially improved. However, the muscle strength on the non-paralyzed left side did not significantly improve. No complications related to the surgery were observed. Conclusion: Promising early results were obtained for THA in our patient with residual poliomyelitis. However, surgeons should pay attention to the potential development of complications concerning THA that may arise due to the residual poliomyelitis.

Pre-Hospital Medications in Total Hip Arthroplasty: Risk Factors for Poor Outcomes

2015 ◽  
Vol 25 (3) ◽  
pp. 215-220 ◽  
Author(s):  
Michael Dietrich ◽  
Patrick O. Zingg ◽  
Marco Egbring ◽  
Atul F. Kamath ◽  
Claudio Dora
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Poor Outcomes

scholarly journals Total hip arthroplasty for intertrochanteric fracture fixation failure

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Liyun Liu ◽  
Yongqiang Sun ◽  
Linlin Wang ◽  
Qiankun Gao ◽  
Ang Li ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
Internal Fixation ◽  
Hip Arthroplasty ◽  
Fracture Fixation ◽  
Intertrochanteric Fracture ◽  
Joint Function ◽  
Fixation Failure ◽  
Total Hip ◽  
Sf 36

Abstract Background Intertrochanteric fracture is a common fracture suffered by elderly patients. Total hip arthroplasty (THA) is regarded as a salvage operation to restore hip joint function after fixation failure, which remains somewhat controversial due to some clinical potential issues. Methods 18 elderly patients (average age 70.3 years) each with intertrochanteric fracture fixation failure treated with THA between September 2013 and October 2016 were retrospectively analyzed. Internal fixation treatments involved 5 patients who had received proximal femoral nail anti-rotation, 7 who received locking proximal femur plates and 6 who received dynamic hip screws. All patients were treated with THA using biological acetabular prosthesis and hip arthroplasty (HA) coating skillet femoral prosthesis, with the greater trochanter fixed using wire or steel when necessary. Patients’ Harris scores pre- and post-treatment, SF-36 Health Questionnaire score and digital radiology (DR) were used for joint prostheses initial stability and survival evaluation. Results 15 patients completed follow-up periods ranging between 19 and 54 months (mean 26.2 months; 1 patient died from a pulmonary embolism, 1 patient died from pulmonary heart disease 1 year after surgery and 1 patient withdrew for personal reasons). There were no joint infections, periprosthetic fractures or dislocations. The average Harris score increased significantly, from 32.68 ± 12.04 points before surgery to 91.08 ± 5.9 points at 24 months post-treatment. SF-36 scores were significantly increased. Conclusion THA as salvage treatment for failed internal fixation of intertrochanteric femoral fractures in elderly patients significantly reduced hip pain and restored joint function, and early clinical outcomes were satisfactory.

COMPARISON OF SUFENTANIL AND FENTANYI. WITH N2O HALOTHANE ANESTHESIA FOR TOTAL HIP ARTHROPLASTY IN ELDERLY PATIENTS

1987 ◽  
Vol 67 (3) ◽  
pp. A120-A120 ◽  
Author(s):  
R. Gauzit ◽  
T. Marty ◽  
E. Couderc ◽  
I. Bouyet ◽  
B. Flaischler ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
Hip Arthroplasty ◽  
Halothane Anesthesia ◽  
Total Hip
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