Ľanesthésie rachidienne et péridurale combinée, et péridurale seule, ont une incidence similaire ďhypotension lors de ľarthroplastie du genou View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2006-02

AUTHORS

Tiberiu Ezri, Islam Zahalka, Deeb Zabeeda, Zeev Feldbrin, Alexander Eidelman, Reuven Zimlichman, Benjamin Medalion, Shmuel Evron

ABSTRACT

BACKGROUND: We hypothesized that the incidence of hypotension during total knee replacement (TKR) surgery is lower in patients given combined spinal-epidural (CSE) anesthesia vs those receiving epidural anesthesia alone. METHODS: In a prospective study, 80 American Society of Anesthesiologists I-II patients (aged 40-80 yr), undergoing elective TKR surgery were randomly assigned to either CSE anesthesia (CSE, n = 40) or epidural anesthesia alone (Epidural, n = 40). Hemodynamic measurements included oscillometric mean arterial blood pressure (MAP), heart rate (HR), and cardiac index (CI) as determined by thoracic bioimpedance; systemic vascular resistance (SVR) was calculated. Our primary endpoint (outcome) was the number of hypotension episodes (defined as MAP < 70 mmHg). RESULTS: Using univariate analysis, we found no differences between the groups in regards to MAP, HR, CI, or SVR during the perioperative period. The incidence of hypotension was similar in both groups (two patients in each group), as was the incidence of bradycardia (12 patients in CSE, 7 in Epidural; P = 0.2). There were no differences between groups in other hemodynamic measurements including CI and calculated SVR. Analgesia supplementation with fentanyl was more frequently required in the Epidural group (20 vs 6 patients - P = 0.03). CONCLUSION: Combined spinal-epidural anesthesia and epidural anesthesia alone during TKR surgery are associated with the same incidence of hypotension with statistically and clinically similar hemodynamic responses. More... »

PAGES

139-145

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03021818

DOI

http://dx.doi.org/10.1007/bf03021818

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028505750

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16434753


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Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

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