Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study.

Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study. Abstract Text:

J Modig,

The effects of continuous lumbar epidural anesthesia and two types of general anesthesia on blood loss and hemodynamics during and after total hip replacement were compared in three groups of patients. Fourteen patients received local anesthetics via continuous lumbar epidural administration; 10 patients received inhalational anesthetics and breathed spontaneously after endotracheal intubation; and 14 received artificial ventilation after intubation and intermittent intravenous (i.v.) injections of pancuronium and fentanyl. The results documented that both intraoperative and postoperative blood losses were significantly reduced in patients subjected to total hip replacement under lumbar epidural anesthesia as compared with the patients receiving the two general anesthetic techniques. Hemodynamic differences explained the differences in blood loss. The epidural anesthesia induced hypotension on the arterial and venous sides as compared with the two general anesthetic techniques. Inhalational anesthesia also induced hypotension on the arterial and venous sides intraoperatively as compared with general anesthesia with artificial ventilation. Postoperatively, the hemodynamics of the general anesthesia groups were similar, and no differences in blood loss occurred. Continuous' epidural anesthesia can be viewed as a tool to achieve hypotensive anesthesia--notably on the venous side--for the purpose of minimizing blood loss. The reduction in blood loss associated with lumbar epidural anesthesia is beneficial in decreasing the hazard and cost of blood transfusion.

Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study. Publishing Authors By Initials

J Modig,

For similar therapeutics: emergency treatment: resuscitation: respiration, artificial research abstracts see: therapeutics: emergency treatment: resuscitation: respiration, artificial research

PUBMED ID PMID:

MEDLINE DATE:

Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Acta chirurgica Scandinavica. Supplementum

VOLUME: 550

Page Numbers: 95-100; discussion 100-3

Journal Abbreviation:

ISSN: 0301-1860

DAY: 6

MONTH: 12

YEAR: 1989

Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 370305

Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study. Keywords Mesh Terms:

KEYWORDS: Respiration, Artificial

MESH TERMS:

Chemical & Substance for Abstract: Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study. Information

Substance Name: Anesthetics, Local

Registry Number: 0

Grant and Affiliation Information for Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study.

AFFILIATION: Department of Anaesthesiology and Intensive Care, University Hospital, Uppsala, Sweden.

Country: SWEDEN

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Acta Chir Scand Suppl

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia An explanatory study Related Publications

• Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study.
• Experimental and clinical studies on adult respiratory distress syndrome.
• Influence of regional anesthesia, local anesthetics, and sympathicomimetics on the pathophysiology of deep vein thrombosis.
• Posttraumatic pulmonary insufficiency caused by the microembolism syndrome.
• [The first Swedish pharmacy in a hospital and its jars]