General anaesthesia and total hip replacement

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General anaesthesia and total hip replacement.

TOTAL HIP REPLACEMENT has become a frequent procedure since the initial work of Charnley, McKee, Watson, Ferrar and Ring in the early 1960s. The most popular technique, that of Miiller, ~ involves a socket prosthesis fixed in the acetabulum with acrylic bone cement. A femoral prosthesis is then fixed in the medullary cavity with the same acrylic cement. Peroperative complications associated wit...

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Role of extradural and of general anaesthesia in fibrinolysis and coagulation after total hip replacement.

Thirty patients undergoing total hip replacement were randomly allocated to one of two groups. One group (n = 14) received extradural anaesthesia with 0.5% bupivacaine with adrenaline continued into the postoperative period (24 h) for pain relief. The other group (n = 16) received general anaesthesia with controlled ventilation, using nitrous oxide in oxygen and fentanyl i.v. Following surgery ...

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Spinal and general anaesthesia in total hip replacement: frequency of deep vein thrombosis.

Subarachnoid block (SAB) or general anaesthesia (GA) was induced in 85 patients undergoing total hip replacement. The frequency of deep vein thrombosis (DVT), assessed by fibrinogen uptake studies and venography, was 29% in those patients receiving SAB and 54% in the GA group. Total blood loss (intra-operative and post-operative wound suction drainage) in SAB group was 66% and total transfusion...

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Deep vein thrombosis after total hip replacement. A comparison between spinal and general anaesthesia.

The effect of hypobaric spinal anaesthesia or narcotic-halothane-relaxant general anaesthesia on the incidence of postoperative deep vein thrombosis was studied in 140 elective total hip replacements in a prospective randomised manner. Deep vein thrombosis was diagnosed using impedance plethysmography and the 125I fibrinogen uptake test, combined, in selected cases, with ascending contrast veno...

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Pros and Cons of General Anaesthesia on Total Knee Angioplasty (TKA) and Total Hip Angioplasty (THA)

Both total knee angioplasty (TKA) and total hip angioplasty (THA) may be carried out under general anaesthesia. However, many surgeons prefer to perform the surgery under regional anaesthesia due to the profound pre-emptive analgesic effects which are provided by the regional aesthetic techniques. Both centroneuraxis (spinal and epidural approaches) and peripheral nerve blocks are used for TKA ...

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ژورنال

عنوان ژورنال: Canadian Anaesthetists’ Society Journal

سال: 1974

ISSN: 0008-2856,1496-8975

DOI: 10.1007/bf03006016