Comparison of Short-Term Complications of General and Spinal Anesthesia for Primary Unilateral Total Knee ArthroplastyComparison of Short-Term Complications of General and Spinal Anesthesia for Primary Unilateral Total Knee Arthroplasty
- Other Titles
- Comparison of Short-Term Complications of General and Spinal Anesthesia for Primary Unilateral Total Knee Arthroplasty
- Authors
- 박용복; 채원석; 박신형; 유지수; 이선근; 임수재
- Issue Date
- 2017
- Publisher
- 대한슬관절학회
- Keywords
- Knee; arthroplasty; anesthesia; general; Spinal; complications
- Citation
- Knee Surgery and Related Research, v.29, no.2, pp 96 - 103
- Pages
- 8
- Journal Title
- Knee Surgery and Related Research
- Volume
- 29
- Number
- 2
- Start Page
- 96
- End Page
- 103
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8236
- ISSN
- 1225-1623
2234-2451
- Abstract
- purpose: To compare the occurrences of perioperative complications of two anesthetic techniques (general anesthesia [GA] and spinal anesthesia [SA] in patients undergoing primary unilateral total knee arthroplasty (TKA).Materials and Methods: Patients who underwent unilateral primary TKA due to osteoarthritis from January 2005 to January 2014 were retrospectively reviewed. They were divided into two groups: GA (n=490) and SA (n=746). The operation duration, length of perioperative stay in the operation room and occurrences of adverse events in postoperative 30 days (mean, 29.7±3.1 days) were compared. Before multivariate linear or logistic regression analysis, different baseline characteristics were adjusted in the statistical models.results: There were significant intergroup differences in mean age (GA, 68.4±7.2 years; SA, 70.7±7.5 years; p<0.001) and mCCI (GA, 3±1.4; SA, 3.2±1.5; p<0.001). The GA group required longer preoperative room time (+9.4 minutes; p<0.001), postoperative room time (+12.7 minutes; p<0.001), and postoperative hospital stay (+2.5 days; p=0.001) and had more surgical site infections (5 [1%] vs. 0 [0%]; p=0.005) and blood transfusion (205 [41.8%] vs. 262 [35.1%]; p=0.01). No differences in operative duration and other adverse events were identified.conclusions: We should cautiously consider that GA may be associated with slightly increased preoperative and postoperative room times, postoperative hospital stay, transfusion and surgical site infection rates in primary unilateral TKA.
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Collections - College of Medicine > Department of Anesthesiology > 1. Journal Articles
- College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
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