AI Summary & Key Takeaways
AI InsightHypertension was themost frequent concomitant disease and acute renal failure was the most frequently observedcomplication. 15 of 16 patients in whom complications were observed had hypertension.Mortality was 1.48% .Conclusion: Postoperative complications and intensive care unit admission are more frequently encountered among patients operated for bilateral knee replacement under generalanesthesia than with regional anesthesia
📌 3 Key Takeaways
Abstract
Introduction: The purpose of this study is to investigate the effects of anesthesia techniqueson intensive care admission, postoperative complications and mortality in elderly patients undergoing elective bilateral knee replacement surgery.Materials and Methods: A retrospective file review in the Anesthesiology and ReanimationDepartment of Afyon Kocatepe University between January 2008 and October 2013 was doneon patients operated for bilateral knee replacement in the same sessions by the same surgeonResults: 108 females and 27 males, a total of 135 patients, were included in this study. 83patients were operated under general anesthesia while 52 were under regional (epidural+spinal)anesthesia. 123 (91.1%) of patients were admitted to service after operation while 12 (8.9%) ofthem were admitted to the ICU, 10 (7.4%) of whom were in Group G (general anesthesia) and2 (1.5%) in Group R (regional anesthesia) (p>0.05). The development rates of complications weresignificantly higher in Group G (11.1%) than in Group R (0.7%) (p=0.005). Hypertension was themost frequent concomitant disease and acute renal failure was the most frequently observedcomplication. 15 of 16 patients in whom complications were observed had hypertension.Mortality was 1.48% .Conclusion: Postoperative complications and intensive care unit admission are more frequently encountered among patients operated for bilateral knee replacement under generalanesthesia than with regional anesthesia
Özet
Giriş: Bu çalışmanın amacı, elektif bilateral diz protezi uygulanacak yaşlı hastalarda uygulanan anestezi tekniklerinin postoperatif yoğun bakıma giriş, komplikasyonlar ve mortaliteye etkisinin incelenmesidir.Gereç ve Yöntem: Afyon Kocatepe Üniversitesi Anesteziyoloji ve Reanimasyon Anabilim Dalı'nda Ocak 2008-Ekim 2013 yılları arasında aynı cerrah tarafından aynı seansta bilateral diz protezi yapılan hastalarda retrospektif dosya incelemesi yapıldı.Bulgular: Çalışmaya 108 kadın, 27 erkek toplam 135 hasta dahil edildi. 83 hastaya genelanestezi uygulanırken, 52 hastaya rejyonel (epidural+spinal) anestezi uygulanmıştır. Operasyonsonrasında hastaların 123'ü (%91,1) servise çıkarken 12'si (%8,9) yoğun bakıma çıkmıştır (hastaların 10'u (%7.4) Grup G'de iken, 2'si (%1,5) Grup R'de idi) (p>0.05). Komplikasyon gelişme oranı Grup G'de (%11,1) Grup R'ye (%0,7) göre anlamlı derecede yüksekti (p=0,005). Hipertansiyonen sık görülen ek hastalık, akut böbrek yetmezliği en sık gözlenen komplikasyondu. Komplikasyon gelişen 16 hastanın 15'inde hipertansiyon mevcuttu. Mortalite %1,48 idi.Sonuç: Bilateral diz nedeniyle opere olacak hastalarda genel anestezi uygulaması rejyonelanestezi ile karşılaştırıldığında yoğun bakıma çıkış ve postoperatif komplikasyonlar daha fazla olmaktadır