Comparison of Anesthetic Administration According to Method of Hip Surgery

• Published in: The Eurasian journal of medicine Vol. 49; no. 1; pp. 26 - 29
• Main Authors: Esenyel, Aysin Ersoy, Esenyel, Cem Zeki, Ervatan, Zekeriya, Yakar, Nuri, Cakirgoz, Mensure, Kalkar, Ismail, Seyran, Metin
• Format: Journal Article
• Language: English
• Published: Turkey Galenos Publishing House 01-02-2017; The Eurasian Journal of Medicine
• Subjects: Anesthesia; Antihypertensives; Blood transfusions; Comparative studies; Hip joint; Joint surgery; Original; Prostheses; Hip prosthesis; total hip arthroplasty; partial hip prosthesis; spinal anaesthesia; proksimal femoral nail; hip surgery; general anesthesia
• DOI: 10.5152/eurasianjmed.2016.15281
• EISSN: 1308-8742
• ISSN: 1308-8734

The aim of this study is to compare total hip prosthesis (THP), partial hip prosthesis (PHP), and proximal femoral nail (PFN) patients in terms of the chosen anesthetic method.
A total of 850 patients who underwent hip surgery were divided into 3 groups according to the operation type: PHP (n=281), PFN (n=393), and THP (n=176). The type of anesthesia administered, interventions during anesthesia, and complications were retrospectively evaluated. The groups were compared in terms of patient age, American Society of Anesthesiologists (ASA) scores, chosen anesthetic method, operation duration, colloid use during operation, use of antihypertensive medication, use of vasoconstrictor medication, development of hypotension, blood transfusion administered, development of cardiac arrest, requirements for intensive care after operation, and use of a central catheter.
In the THP group, the mean age of patients was significantly lower as compared to the PHP and PFN groups. The duration of operation was lower in the PFN group as compared to the other two groups. In the THP group, general anesthesia was significantly high, while in the PFN group, regional anesthetic administration was high. While colloid use was greater in the PFN group, the blood transfusion rate was higher in the THP group. The use of antihypertensive medication was higher in the THP group as compared to the other groups.
Although all three anesthetic methods could be used in hip surgery, the type of anesthesia should be chosen according to the type of hip surgery considering the duration of operation, age of the patient, and blood lost during the operation.