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Meta‐Analysis of General Anesthesia on Total Knee Angioplasty and Total Hip Angioplasty
Author(s) -
TSAI JEFFREY
Publication year - 2015
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.29.1_supplement.616.1
Subject(s) - medicine , femoral nerve , anesthesia , angioplasty , adductor canal , surgery , perioperative , total hip replacement , sciatic nerve , total knee arthroplasty
Both total knee angioplasty (TKA) and total hip angioplasty (THA) may be carried out under general anesthesia, however, many surgeons prefer to perform the surgery under regional anesthesia due to the profound preemptive analgesic effects which are provided by the regional aesthetic techniques. Both centroneuraxis which includes spinal and epidural as well as peripheral nerve blocks are used for TKA and THA. Even though the former is used less frequently mainly in both TKA and THA due to the increased administration of low molecular heparins mainly with the resultant epidural hematoma formation, the latter is enjoyed more popularly. In this paper, we will discuss the use of peripheral nerve blocks for both TKA and THA. In addition, the surgery also includes use of femoral/sciatic nerve blocks as well as intra‐articular injection of the local anesthetics or even opioids at the knee and hip joints. They are mostly devoid of any extensive sympathectomy and helps in providing sufficient surgical analgesia along with a motor nerve block. Conclusively, this meta‐study is to analyze the fundamental pros and cons of perioperative anesthesia for both TKA and THA.